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Individual

OSCAR ANTONIO TEJEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 WINDJAMMER LN, ST AUGUSTINE, FL 32084-5238
(914) 649-6995
Mailing address
2001 WINDJAMMER LN, ST AUGUSTINE, FL 32084-5238
(914) 649-6995

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPS.0101390-P
FL

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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