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1336719384
KELLY PORTERFIELD
LAWTON, OK
NPI
1336719384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-20-131964)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
KELLY PORTERFIELD
3005 SW PARK AVE
LAWTON, OK 73505-7902
Phone number: 580-699-5558
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Mailing Address
KELLY PORTERFIELD
3005 SW PARK AVE
LAWTON, OK 73505-7902
Phone number: 580-699-5558
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