Organization
INFINITY AESTHETIC AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ELAINE OATES (OWNER/PARTNER)
(580) 326-8310
Entity
Organization
Contact information
Practice address
204 N 12TH ST, HUGO, OK 74743-3612
(580) 326-8310
Mailing address
204 N 12TH ST, HUGO, OK 74743-3612
(580) 326-8310
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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