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1861895625
DR.G, PSYD, PLLC
EDMOND, OK
NPI
1861895625
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Entity Type
Organization
Authorized Contact
GRICELDA FRAGOSO
Owner
405-309-9051
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OK 1131)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
DR.G, PSYD, PLLC
1985 W 33RD ST
EDMOND, OK 73013-3875
Phone number: 405-309-9051
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Mailing Address
DR.G, PSYD, PLLC
1985 W 33RD ST
EDMOND, OK 73013-3875
Phone number:
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