Individual
MR. JUAN GUERRERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRSS
Contact information
Practice address
5517 S LINN AVE, OKLAHOMA CITY, OK 73119-5834
(405) 882-6320
Mailing address
5517 S LINN AVE, OKLAHOMA CITY, OK 73119-5834
(405) 882-6320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
108199
OK
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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