CICELY FANNING

BROKEN ARROW, OK
NPI1043304132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  12094555)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- CICELY FANNING
2208 N YELLOWOOD AVE
BROKEN ARROW, OK 74012-9102
Phone number: 918-286-1261
Mailing Address
-- CICELY FANNING
2208 N YELLOWOOD AVE
BROKEN ARROW, OK 74012-9102
Phone number: 918-286-1261
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