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1992045777
BENNISA MICHELLE BURRIS
TULSA, OK
NPI
1992045777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2013-02-15
Last Update Date
2013-02-15
Business Address
BENNISA MICHELLE BURRIS
5555 S LEWIS AVE
TULSA, OK 74105-7104
Phone number: 918-779-4556
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Mailing Address
BENNISA MICHELLE BURRIS
2624 N QUINCY AVE
TULSA, OK 74106-2604
Phone number: 918-949-1904
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