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1801176615
SPARKALENE DEFREEZE
OKLAHOMA CITY, OK
NPI
1801176615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-08-24
Last Update Date
2024-03-14
Business Address
SPARKALENE DEFREEZE
3000 UNITED FOUNDERS BLVD STE 103
OKLAHOMA CITY, OK 73112-4294
Phone number: 405-810-5032
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Mailing Address
SPARKALENE DEFREEZE
3000 UNITED FOUNDERS BLVD STE 103
OKLAHOMA CITY, OK 73112-4294
Phone number: 405-810-5032
Copy
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