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1558045005
CARISSA BAILEY
EDMOND, OK
NPI
1558045005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-23-279111)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
CARISSA BAILEY
416 W 15TH ST STE 600
EDMOND, OK 73013-3672
Phone number: 479-318-2300
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Mailing Address
CARISSA BAILEY
500 NW 140TH ST
EDMOND, OK 73013-1913
Phone number: 918-972-9311
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