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1790030872
LISA AVERY
TULSA, OK
NPI
1790030872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- LISA AVERY
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-508-9212
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Mailing Address
-- LISA AVERY
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number:
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