Individual
TERRI J NOBLES-MODIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1136
(405) 424-1198
Mailing address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1136
(405) 424-1198
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
OK
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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