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Individual
MANUEL O CRESPO
Active
Individual
MANUEL O CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3084
OK
208M00000X
Hospitalist Physician
3084
OK
Other
Enumeration date
09/07/2005
Last updated
04/05/2017
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