TRACY KENT ELLIS

POTEAU, OK
NPI1982974622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2012-01-11
Last Update Date2012-01-11
Business Address
-- TRACY KENT ELLIS
900 N BROADWAY ST
POTEAU, OK 74953-2617
Phone number: 918-809-0112
Mailing Address
-- TRACY KENT ELLIS
208 N WITTE ST
POTEAU, OK 74953-3926
Phone number: 918-809-0112
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