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Organization

SEBASTIAN PC

Active
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Organization

SEBASTIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONIQUE SEBASTIAN MD (PRESIDENT)
(405) 755-5801
Entity
Organization

Contact information

Practice address
4100 W MEMORIAL, SUITE 221, OKLAHOMA CITY, OK 73120
(405) 755-5801
(405) 755-5949
Mailing address
12800 CASTLEROCK CT, OKLAHOMA CITY, OK 73142-5127
(405) 751-2605

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20879
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
800522305
PTAN
OK
Enumeration date
10/15/2008
Last updated
10/15/2008
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