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1578087102
MICKAELA LYNNE ELLARD
OKLAHOMA CITY, OK
NPI
1578087102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 4761)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
Mrs. MICKAELA LYNNE ELLARD MS, CCC-SLP
2537 NW 34TH ST
OKLAHOMA CITY, OK 73112-7631
Phone number: 918-261-6309
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Mailing Address
Mrs. MICKAELA LYNNE ELLARD MS, CCC-SLP
2537 NW 34TH ST
OKLAHOMA CITY, OK 73112-7631
Phone number: 918-261-6309
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