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1174857619
WHITNEY ANTIA WALLACE
NORMAN, OK
NPI
1174857619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-01
Last Update Date
2009-10-02
Business Address
Miss WHITNEY ANTIA WALLACE
900 E MAIN ST BUILDING 52 UNIT 200
NORMAN, OK 73071-5305
Phone number: 405-307-4800
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Mailing Address
Miss WHITNEY ANTIA WALLACE
2900 CHAUTAUQUA AVE #207
NORMAN, OK 73072-7723
Phone number: 940-597-9459
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