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Individual

JGUADALUPE SALGADO ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
Mailing address
37084 HIGHWAY 19, PAULS VALLEY, OK 73075-8678
(405) 207-0591
(405) 238-2084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/10/2011
Last updated
05/17/2011
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