Individual
MR. JASINTO JUAREZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2118 S SANTA FE AVE APT 203, MOORE, OK 73160-2854
(405) 413-9378
Mailing address
2118 S SANTA FE AVE APT 203, MOORE, OK 73160-2854
(405) 413-9378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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