LUIS ALFONSE JIMENEZ RINCON

BROKEN ARROW, OK
NPI1760817977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
(Licence: OK  171M00000X)
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
-- LUIS ALFONSE JIMENEZ RINCON
3501 S 1ST ST
BROKEN ARROW, OK 74012-7916
Phone number: 918-813-3826
Mailing Address
-- LUIS ALFONSE JIMENEZ RINCON
3501 S 1ST ST
BROKEN ARROW, OK 74012-7916
Phone number: 918-813-3826
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