Individual
ELYSE RABASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
917 MCCALL DR, NORMAN, OK 73072-7020
(925) 409-0261
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
07/05/2024
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