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1912337643
LATANYA DODD
TULSA, OK
NPI
1912337643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
(Licence: OK 261QM0850X)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- LATANYA DODD
1540 E 68TH PL
TULSA, OK 74136
Phone number: 317-457-3933
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Mailing Address
-- LATANYA DODD
1540 E 68TH PL
TULSA, OK 74136-4119
Phone number: 317-457-3933
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