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1912694399
MICAH CHRISTIAN
EDMOND, OK
NPI
1912694399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-23-266858)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
MICAH CHRISTIAN RBT
2524 N BROADWAY STE 528
EDMOND, OK 73034-4172
Phone number: 405-987-7354
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Mailing Address
MICAH CHRISTIAN RBT
2524 N BROADWAY STE 528
EDMOND, OK 73034-4172
Phone number: 405-987-7354
Copy
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