EBONY TYLER PORTIS

OKLAHOMA CITY, OK
NPI1043576192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence:   101YP2500X)
Enumeration Date2012-04-03
Last Update Date2012-04-03
Business Address
-- EBONY TYLER PORTIS BHS
1900 NE 36TH ST STE 100G
OKLAHOMA CITY, OK 73111-5218
Phone number: 405-270-0005
Mailing Address
-- EBONY TYLER PORTIS BHS
1900 NE 36TH ST STE 100G
OKLAHOMA CITY, OK 73111-5218
Phone number: 405-270-0005
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