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1407107758
LATASHA MARIE CRUIKSHANK
OKLAHOMA CITY, OK
NPI
1407107758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
Mrs. LATASHA MARIE CRUIKSHANK
1300 GARLAND AVE
OKLAHOMA CITY, OK 73111-4710
Phone number: 405-637-8996
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Mailing Address
Mrs. LATASHA MARIE CRUIKSHANK
PO BOX 60933
OKLAHOMA CITY, OK 73146-0933
Phone number: 405-637-8996
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