Individual
MIREYA AZELIN DOROTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
2505 SW 25TH ST, OKLAHOMA CITY, OK 73108-6026
(405) 886-5748
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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