Individual
MS. HOLLY DENISE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 THOMAS DR, APT 711, EDMOND, OK 73003-2183
(405) 501-5381
Mailing address
2500 THOMAS DR, APT 711, EDMOND, OK 73003-2183
(405) 501-5381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861750226
—
OK
Enumeration date
04/23/2012
Last updated
04/19/2013
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