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Individual
MATTHEW ADCOCK
Active
Individual
MATTHEW ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MICROPIGMENTOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210707
OK
246ZA2600X
Medical Art Specialist/Technologist
1781
OK
Other
Enumeration date
10/29/2020
Last updated
07/08/2025
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