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1588337968
KRISTA FERTIG
TULSA, OK
NPI
1588337968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK BACB707690)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
KRISTA FERTIG
1810 E 15TH ST STE A
TULSA, OK 74104-4611
Phone number: 918-410-9668
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Mailing Address
KRISTA FERTIG
1810 E 15TH ST STE A
TULSA, OK 74104-4611
Phone number: 918-410-9668
Copy
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