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Individual

LAQUITA BOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
820 NW 122ND ST APT 203, OKLAHOMA CITY, OK 73114-7335
(405) 761-0931
Mailing address
820 NW 122ND ST APT 203, OKLAHOMA CITY, OK 73114-7335
(405) 761-0931

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OK

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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