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1538362199
JUDY DIANA WILDER
TULSA, OK
NPI
1538362199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 2976)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
Ms. JUDY DIANA WILDER L.P.C., L.A.D.C.
7010 S YALE AVE STE 215
TULSA, OK 74136-5743
Phone number: 918-492-2554
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Mailing Address
Ms. JUDY DIANA WILDER L.P.C., L.A.D.C.
1116 E 35TH PL
TULSA, OK 74105-2514
Phone number: 918-748-8894
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