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1295517258
MYKELAH FRAISE
TULSA, OK
NPI
1295517258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
MYKELAH FRAISE
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-406-3420
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Mailing Address
MYKELAH FRAISE
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number:
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