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Individual

ABBAYAEL KANI-BEN ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5909 NW EXPRESSWAY STE 232, WARR ACRES, OK 73132-4476
(405) 931-0775
Mailing address
7104 MEADOW LAKE DR, YUKON, OK 73099-6033
(405) 210-4182

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/14/2012
Last updated
09/22/2023
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