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1427740075
LUIS ENRIQUE DIEZ-AVILA
OKLAHOMA CITY, OK
NPI
1427740075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 5020)
Enumeration Date
2023-05-23
Last Update Date
2024-02-19
Business Address
LUIS ENRIQUE DIEZ-AVILA PA-C
4021 S WALKER AVE STE 201
OKLAHOMA CITY, OK 73109-6977
Phone number: 405-632-6688
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Mailing Address
LUIS ENRIQUE DIEZ-AVILA PA-C
3000 N GRAND BLVD
OKLAHOMA CITY, OK 73107-1818
Phone number: 405-632-6688
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