Individual
GABRIEL J PELAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 NW CACHE RD APT 9A, LAWTON, OK 73505-3341
(918) 381-9432
Mailing address
5535 NW CACHE RD APT 9A, LAWTON, OK 73505-3341
(918) 381-9432
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/09/2021
Last updated
12/09/2021
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