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1649990458
PRINCESS THELISMA
OKLAHOMA CITY, OK
NPI
1649990458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
PRINCESS THELISMA
6510 S WESTERN AVE STE 400
OKLAHOMA CITY, OK 73139-1712
Phone number: 405-634-1497
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Mailing Address
PRINCESS THELISMA
6510 S WESTERN AVE STE 400
OKLAHOMA CITY, OK 73139-1712
Phone number: 405-634-1497
Copy
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