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Individual

MRS. ELISHEA BARLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
11312 RED ROCK RD, OKLAHOMA CITY, OK 73120-5347
(405) 604-5907
Mailing address
11312 RED ROCK RD, OKLAHOMA CITY, OK 73120-5347
(405) 604-5907

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT591
OK

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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