Individual
ELIZABETH BEASLEY-ODUTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 HIGH COUNTRY LN, ALLEN, TX 75002-1840
(405) 588-9104
Mailing address
1526 HIGH COUNTRY LN, ALLEN, TX 75002-1840
(405) 588-9104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132686
OK
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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