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Individual

MR. JOSE ANTONIO SANCLEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 NE 10TH, SUITE 4200, OKLAHOMA CITY, OK 73104
(405) 271-7559
Mailing address
920 STANTON L YOUNG, WP 1290, OKLAHOMA CITY, OK 73104
(405) 271-5504
(405) 271-3248

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
22339
WV
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
228320
MA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25575
OK

Other

Enumeration date
03/23/2007
Last updated
05/05/2010
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