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Individual

LIZA MONICA CAMPOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7117 E RENO AVE, MIDWEST CITY, OK 73110-4444
(405) 610-5242
Mailing address
2307 N THOMPKINS AVE APT S3, BETHANY, OK 73008-5334
(405) 658-3455

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
02/28/2021
Last updated
02/28/2021
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