Individual
MR. MANUEL OLAGUE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2492 S AZTEC POINT TRL, TUCSON, AZ 85748-5103
(520) 271-1378
Mailing address
2492 S AZTEC POINT TRL, TUCSON, AZ 85748-5103
(520) 271-1378
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4772
AZ
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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