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1265779920
TONY FERNANDO WISE
OKLAHOMA CITY, OK
NPI
1265779920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
Mr. TONY FERNANDO WISE Pastor
1201 NE 68TH ST
OKLAHOMA CITY, OK 73111-7817
Phone number: 405-639-7561
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Mailing Address
Mr. TONY FERNANDO WISE Pastor
1201 NE 68TH ST
OKLAHOMA CITY, OK 73111-7817
Phone number: 405-639-7561
Copy
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