Individual
KERI BETH ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
1000 S FRONT ST, NOBLE, OK 73068-8500
(405) 365-4919
Mailing address
1000 S FRONT ST, NOBLE, OK 73068-8500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
134793
OK
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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