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1184987554
EBONY IMAN DALLAS
EDMOND, OK
NPI
1184987554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
-- EBONY IMAN DALLAS MFA
1920 FOUNTAIN VW
EDMOND, OK 73013-2618
Phone number: 405-514-5239
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Mailing Address
-- EBONY IMAN DALLAS MFA
1920 FOUNTAIN VW
EDMOND, OK 73013-2618
Phone number: 405-514-5239
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