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1740509504
PAULA ANN BONEBRAKE
OWASSO, OK
NPI
1740509504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1502)
Enumeration Date
2010-05-19
Last Update Date
2020-01-06
Business Address
Mrs. PAULA ANN BONEBRAKE MS
12801 E 85TH ST N STE 101
OWASSO, OK 74055-2259
Phone number: 918-637-8373
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Mailing Address
Mrs. PAULA ANN BONEBRAKE MS
12312 E. 79TH CT. N.
OWASSO, OK 74055
Phone number: 918-637-8373
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