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1912431214
DESIREE BLAKE
SAPULPA, OK
NPI
1912431214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- DESIREE BLAKE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-216-4999
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Mailing Address
-- DESIREE BLAKE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number:
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