Individual
MR. LUIS PEDRO GARCIA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
1316 SYLVAN SAND, YUKON, OK 73099-3160
(405) 306-1307
Mailing address
1316 SYLVAN SAND, YUKON, OK 73099-3160
(405) 306-1307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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