VENUSTO H SAN JOAQUIN

OKLAHOMA CITY, OK
NPI1467420703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: OK  10979)
Enumeration Date2006-03-11
Last Update Date2007-07-08
Business Address
-- VENUSTO H SAN JOAQUIN MD
940 NE 13TH ST 1B1409
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-5703
Mailing Address
-- VENUSTO H SAN JOAQUIN MD
1122 NE 13TH ST ORI236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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