Individual
TERRIE MICHELLE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
Mailing address
632 WOOD CREST ST, MOORE, OK 73160-6044
(405) 694-6555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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