Individual
MIGUEL RAFAEL OLIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9210 S WESTERN AVE STE A21, OKLAHOMA CITY, OK 73139-4982
(405) 703-8755
(405) 895-7544
Mailing address
720 SE 59TH ST APT 213, OKLAHOMA CITY, OK 73129-5703
(405) 537-7026
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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