Individual
CARLOS ALEJANDRO VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 W 78TH ST, TULSA, OK 74132-3040
(580) 231-2229
Mailing address
1551 W 78TH ST, TULSA, OK 74132-3040
(580) 231-2229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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