Individual
REZA MAHMOODJANLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
Mailing address
4715 INNSBROOK LN, OKLAHOMA CITY, OK 73142-5111
(405) 413-4979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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