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1497185607
KIMYATTA HISHAW
OKLAHOMA CITY, OK
NPI
1497185607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 101ya0400x)
Enumeration Date
2013-11-25
Last Update Date
2013-11-25
Business Address
-- KIMYATTA HISHAW
10505 N MILITARY AVE
OKLAHOMA CITY, OK 73114-5226
Phone number: 405-473-3849
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Mailing Address
-- KIMYATTA HISHAW
10505 N MILITARY AVE
OKLAHOMA CITY, OK 73114-5226
Phone number:
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