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1275226953
MARISSA A BUMGARNER
EDMOND, OK
NPI
1275226953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-23-274722)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
MARISSA A BUMGARNER RBT
409 S FRETZ AVE STE D
EDMOND, OK 73003-5570
Phone number: 405-216-3391
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Mailing Address
MARISSA A BUMGARNER RBT
PO BOX 2164
EDMOND, OK 73083-2164
Phone number: 405-216-3391
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