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1487100699
AUDRA ULLOM
ENID, OK
NPI
1487100699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- AUDRA ULLOM MFT
1510 INDIAN DR
ENID, OK 73703-7013
Phone number: 785-821-2497
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Mailing Address
-- AUDRA ULLOM MFT
1510 INDIAN DR
ENID, OK 73703-5653
Phone number: 785-821-2497
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