Individual
JUSTINO CALEO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13905 TECHNOLOGY DR UNIT A-1, OKLAHOMA CITY, OK 73134-1054
(405) 389-4530
Mailing address
3801 DEERBROOK CT, EDMOND, OK 73003-3053
(504) 609-7020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
L533553278
OK
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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