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1306586672
KELLYN LARA
OWASSO, OK
NPI
1306586672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
KELLYN LARA
9500 N 129TH EAST AVE STE 114
OWASSO, OK 74055-5376
Phone number: 855-223-7123
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Mailing Address
KELLYN LARA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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