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Individual

CARY MOORE CUDDEBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD, CCC-A

Contact information

Practice address
4805 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 636-1506
(405) 636-1511
Mailing address
4805 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 636-1506
(405) 636-1511

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
269
OK

Other

Enumeration date
08/25/2008
Last updated
02/17/2009
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