Individual
MR. ENRICO MIGUEL JAURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,
Contact information
Practice address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1243
Mailing address
625 NW 112TH ST, OKLAHOMA CITY, OK 73114-6837
(405) 413-7856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
04/17/2013
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