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1952979247
IDA BELL ANTIONETTE FRAZIER
EL RENO, OK
NPI
1952979247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
IDA BELL ANTIONETTE FRAZIER Family Care Provider
7777 US RTE 66
EL RENO, OK 73036
Phone number: 405-424-7711
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Mailing Address
IDA BELL ANTIONETTE FRAZIER Family Care Provider
7777 US RTE 66
EL RENO, OK 73036
Phone number: 405-802-3653
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