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Individual

ALFREDO AMARU VANIN GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
713 SW C AVE, LAWTON, OK 73501-4311
(580) 699-2023
Mailing address
4030 SW MESQUITE DR, LAWTON, OK 73505-7558
(580) 647-9547

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/11/2018
Last updated
04/11/2018
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