Individual
MR. DEXTER DE GUZMAN DECANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1401 SW PARKRIDGE BLVD, SUITE A, LAWTON, OK 73505-7575
(580) 248-5668
(580) 248-0785
Mailing address
1401 SW PARKRIDGE BLVD, SUITE A, LAWTON, OK 73505-7575
(580) 248-5668
(580) 248-0785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4051
OK
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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