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1063083913
MEGAN ASHLEY FORTNER
STILLWATER, OK
NPI
1063083913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK BACB691661)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
MEGAN ASHLEY FORTNER
1209 S MAIN ST
STILLWATER, OK 74074-5846
Phone number: 405-564-3408
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Mailing Address
MEGAN ASHLEY FORTNER
7800 W 63RD PL N
TULSA, OK 74126-4240
Phone number: 918-946-8231
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