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Individual

LESLIE IGLESIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 420-3228
Mailing address
9604 SW 29TH TERRACE, OKLAHOMA CITY, OK 73128
(405) 420-3228

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/02/2011
Last updated
12/29/2014
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