Individual
MISS LUCERO PAULINA CAMPOS AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRSS
Contact information
Practice address
4214 AMETHYST CIR, YUKON, OK 73099-0707
(405) 209-9973
Mailing address
10326 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7643
(405) 759-3860
(405) 378-2486
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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