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Individual

MIKEAL LYNN O'QUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT037807

Contact information

Practice address
1506 E WINDING WAY DR STE 206, FRIENDSWOOD, TX 77546-5391
(832) 370-9713
Mailing address
1506 E WINDING WAY DR STE 206, FRIENDSWOOD, TX 77546-5391
(832) 370-9713

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372600000X
Adult Companion
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/06/2019
Last updated
03/05/2025
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