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1669957734
REGINA SIOUX ERTZ
SHAWNEE, OK
NPI
1669957734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OK 1319)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
REGINA SIOUX ERTZ Ph.D.
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-214-5101
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Mailing Address
REGINA SIOUX ERTZ Ph.D.
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-214-5101
Copy
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