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1568683530
SUZANNAH LOUISE LE BROCQ
TULSA, OK
NPI
1568683530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
MS. SUZANNAH LOUISE LE BROCQ MPHIL
12&12 INC., 6333 EAST SKELLY DRIVE
TULSA, OK 74135
Phone number: 918-664-4224
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Mailing Address
MS. SUZANNAH LOUISE LE BROCQ MPHIL
12&12 INC., 6333 EAST SKELLY DRIVE
TULSA, OK 74135
Phone number: 918-664-4224
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