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1417218728
LISA HARBISON
EL RENO, OK
NPI
1417218728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
-- LISA HARBISON BHRS
7905 E US HIGHWAY 66
EL RENO, OK 73036-9225
Phone number: 405-262-0202
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Mailing Address
-- LISA HARBISON BHRS
4400 BUCKHORN LN
EL RENO, OK 73036-7706
Phone number: 405-641-5551
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