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1922885656
JOSHUA E BUMGARNER
EDMOND, OK
NPI
1922885656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-23-296768)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
JOSHUA E BUMGARNER RBT
409 S FRETZ AVE STE D
EDMOND, OK 73003-5570
Phone number: 405-216-3391
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Mailing Address
JOSHUA E BUMGARNER RBT
PO BOX 2164
EDMOND, OK 73083-2164
Phone number: 405-216-3391
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