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1316292667
WAYNETTA; FAYE KOIVISTO
TULSA, OK
NPI
1316292667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
-- WAYNETTA; FAYE KOIVISTO
3015 E SKELLY DR SUITE 103
TULSA, OK 74105-6317
Phone number: 918-712-0859
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Mailing Address
-- WAYNETTA; FAYE KOIVISTO
3015 E SKELLY DR SUITE 103
TULSA, OK 74105-6317
Phone number: 918-712-0859
Copy
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