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Individual

MR. CASEY L ABERNATHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3501 S 610 RD, QUAPAW, OK 74363-1756
(918) 541-5869
Mailing address
3601 S 610 RD, QUAPAW, OK 74363-1754

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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