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Individual

MARISELA GONZALEZ MERCADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
(918) 494-6303
Mailing address
4104 VEREDAS DEL LAUREL, PONCE, PR 00780
(210) 787-7136

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31,623 R
PR
208M00000X
Hospitalist Physician
Primary
34697
OK

Other

Enumeration date
06/30/2015
Last updated
04/22/2020
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