Provider First Line Business Practice Location Address:
3543 WEST MEMORIAL ROAD
Provider Second Line Business Practice Location Address:
HOLSEY COSMETIC SURGERY & SPA
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-256-2526
Provider Business Practice Location Address Fax Number:
888-241-5833
Provider Enumeration Date:
01/08/2013