Mercer Beauty Supply

NPI #1053506121 in Lawton, Oklahoma

Provider Information

NPI Number
1053506121
Entity Type
Organization
Organization Name
Mercer Beauty Supply
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 11, 2007
Last Updated
Jul 16, 2008

Practice Location

Address
1016 SW D AVE
City
Lawton
ZIP Code
73501
Phone
(580) 353-0690

Authorized Official

Name
MRS. IVA L BLACK
Title
OWNER
Phone
(580) 353-0690

Specialties & Taxonomy Codes

Specialty
Orthotic Fitter
Prosthetic/Orthotic Supplier

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