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1568229094
JAZZMINE LASTRAPES
EDMOND, OK
NPI
1568229094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-24-322955)
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
JAZZMINE LASTRAPES
16538 N MAY AVE
EDMOND, OK 73012-9007
Phone number: 405-265-9208
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Mailing Address
JAZZMINE LASTRAPES
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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