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Individual

KIMBERLY DAWN CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16234 COUNTY ROAD 1455, ADA, OK 74820-0337
(580) 332-3592
Mailing address
16234 COUNTY ROAD 1455, ADA, OK 74820-0337
(580) 332-3592

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
03/16/2006
Last updated
06/23/2011
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