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1386342939
JAMIE WALLACE
ARDMORE, OK
NPI
1386342939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
JAMIE WALLACE
1301 KIOWA ST
ARDMORE, OK 73401-2280
Phone number: 580-670-3117
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Mailing Address
JAMIE WALLACE
41247 HIGHWAY 29
WYNNEWOOD, OK 73098-9116
Phone number:
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