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1104103886
TIMOTHY DEWAYNE YOUNG
SHAWNEE, OK
NPI
1104103886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
-- TIMOTHY DEWAYNE YOUNG
1317 E WALLACE ST
SHAWNEE, OK 74801-6412
Phone number: 405-243-3798
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Mailing Address
-- TIMOTHY DEWAYNE YOUNG
1317 E. WALLACE ST.
SHAWNEE, OK 74801-6412
Phone number: 405-243-3798
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