Individual
JESUS QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM I
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Mailing address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NONE
OK
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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