Individual
PAUL ALAN FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 S 6TH ST, CLINTON, OK 73601-4613
(580) 323-1339
Mailing address
517 S 6TH ST, CLINTON, OK 73601-4613
(580) 323-1339
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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