JORDAN ANTONIO VALENZUELA

TULSA, OK
NPI1679317028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-20
Last Update Date2024-06-20
Business Address
Mr. JORDAN ANTONIO VALENZUELA
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
Mr. JORDAN ANTONIO VALENZUELA
2537 S HARVARD PL UNIT 15D
TULSA, OK 74114-4636
Phone number: 580-791-2904
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