Individual
KERLYN OMARA ALONZO JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N 3RD AVE, DURANT, OK 74701-4700
(580) 706-6936
Mailing address
107 N 3RD AVE, DURANT, OK 74701-4700
(580) 706-6936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1254667
OK
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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