Individual
DR. ERMILO S. DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., D.C., F.A.S.A.
Contact information
Practice address
165 W 15TH ST, EDMOND, OK 73013-3604
(405) 513-5894
Mailing address
165 W 15TH ST, EDMOND, OK 73013-3604
(405) 513-5894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4033
OK
Other
Enumeration date
07/21/2006
Last updated
08/23/2011
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