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1225575772
LEISA ANN BAUSCH
TULSA, OK
NPI
1225575772
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Former Name
LEISA ANN RAILEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
Ms. LEISA ANN BAUSCH
11740 E 21ST
TULSA, OK 74129
Phone number: 918-437-9495
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Mailing Address
Ms. LEISA ANN BAUSCH
1202 N WILLOW DR UNIT A
CLAREMORE, OK 74017
Phone number: 918-629-8407
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