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1396072351
DIANE CASSODY WISEMAN
TULSA, OK
NPI
1396072351
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Former Name
ELIZABETH DIANE CASSODY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3532)
Enumeration Date
2009-11-12
Last Update Date
2009-11-12
Business Address
Mrs. DIANE CASSODY WISEMAN
10159 E 11TH ST
TULSA, OK 74128-3058
Phone number: 918-855-1435
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Mailing Address
Mrs. DIANE CASSODY WISEMAN
7711 E 86TH ST
TULSA, OK 74133-6651
Phone number: 918-855-1435
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