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1104555283
BRYLEE BLACK
EDMOND, OK
NPI
1104555283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK CF442)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
BRYLEE BLACK
307 E DANFORTH RD STE 130
EDMOND, OK 73034-4485
Phone number: 405-397-3550
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Mailing Address
BRYLEE BLACK
10014 WOODLAND WAY
EDMOND, OK 73025-1431
Phone number:
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