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1174363832
COLE ANDREW PROCTOR
BROKEN ARROW, OK
NPI
1174363832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
COLE ANDREW PROCTOR
308 N ASPEN AVE
BROKEN ARROW, OK 74012-2205
Phone number: 539-777-0940
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Mailing Address
COLE ANDREW PROCTOR
308 N ASPEN AVE
BROKEN ARROW, OK 74012-2205
Phone number: 539-777-0940
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