AUNDRA LAMAR FULLER

TULSA, OK
NPI1790046654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OK  99999999999999999999)
Additional Taxonomies103K00000X Behavior Analyst
(Licence: OK  99999999999999999999)
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
Mr. AUNDRA LAMAR FULLER
10922 E. 39TH ST.
TULSA, OK 74146
Phone number: 918-282-6850
Mailing Address
Mr. AUNDRA LAMAR FULLER
10922 E 39TH ST
TULSA, OK 74146-2703
Phone number: 918-282-6850