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Individual

GUSTAVO URBINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1016 SW 44TH ST, OKLAHOMA CITY, OK 73109-3616
(405) 605-4249
Mailing address
1016 SW 44TH ST, OKLAHOMA CITY, OK 73109-3616

Taxonomy

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

Other

Enumeration date
07/28/2026
Last updated
07/28/2026
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