Individual
VERONICA PUEBLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 407971, BOLEY, OK 74829-9717
(918) 667-3381
Mailing address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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