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1992349427
DOMINQUE LATREACE SIMMONS
SHAWNEE, OK
NPI
1992349427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
DOMINQUE LATREACE SIMMONS
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
DOMINQUE LATREACE SIMMONS
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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