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1568105096
AMBER DETAR
OKLAHOMA CITY, OK
NPI
1568105096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
AMBER DETAR
4130 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5209
Phone number: 405-424-7711
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Mailing Address
AMBER DETAR
937 N ROCKWELL AVE APT 64
OKLAHOMA CITY, OK 73127-5326
Phone number: 405-408-0633
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