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1982221974
AMANDA GAIL THACKER
ARDMORE, OK
NPI
1982221974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
AMANDA GAIL THACKER
34 N WASHINGTON ST
ARDMORE, OK 73401-7013
Phone number: 580-670-3117
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Mailing Address
AMANDA GAIL THACKER
41247 HIGHWAY 29
WYNNEWOOD, OK 73098-9116
Phone number: 580-670-3117
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