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Individual

NOEL ESCOBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2220 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-5809
(405) 528-1748
(405) 528-1802
Mailing address
PO BOX 22, CALUMET, OK 73014-0022
(405) 630-5920

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200120060A
OK
Enumeration date
01/06/2010
Last updated
01/06/2010
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