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1245920172
BETH WALLACE
NORMAN, OK
NPI
1245920172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
BETH WALLACE
1018 24TH AVE NW STE 110
NORMAN, OK 73069-6556
Phone number: 855-223-7123
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Mailing Address
BETH WALLACE
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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