Individual
DANIEL PATRICK MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 265-3443
Mailing address
428 S MUSTANG RD, YUKON, OK 73099-6754
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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