MICHAELA JADE LAZARUS

SAPULPA, OK
NPI1811749419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date2024-04-05
Last Update Date2024-04-05
Business Address
MICHAELA JADE LAZARUS
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
Mailing Address
MICHAELA JADE LAZARUS
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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