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Individual

CHANDLAR MARIA VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492
Mailing address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36911
OK

Other

Enumeration date
05/11/2020
Last updated
11/09/2023
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