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1912206400
AMY ELIZABETH HORNBACK
ARDMORE, OK
NPI
1912206400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2011-03-23
Last Update Date
2023-05-22
Business Address
AMY ELIZABETH HORNBACK RSS
2530 S COMMERCE ST BUILDING B
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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Mailing Address
AMY ELIZABETH HORNBACK RSS
2530 S COMMERCE ST BLDG B
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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