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1538884507
ALEXIS PENDERGRASS
OKLAHOMA CITY, OK
NPI
1538884507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
ALEXIS PENDERGRASS
3838 NW 36TH ST STE 200
OKLAHOMA CITY, OK 73112-2916
Phone number: 405-702-9032
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Mailing Address
ALEXIS PENDERGRASS
7123 NW 46TH ST
BETHANY, OK 73008-2315
Phone number: 405-702-9032
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