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Individual

MR. GABRIEL FUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MOM

Contact information

Practice address
4430 NW 50TH ST STE M, OKLAHOMA CITY, OK 73112-2295
(405) 397-2952
Mailing address
4430 NW 50TH ST STE M, OKLAHOMA CITY, OK 73112-2295
(405) 397-2952

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OK

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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