Tony Fernando Wise PASTOR

NPI 1265779920 - Counselor - 101Y00000X

NPI Details
NPI 1265779920
Gender Male
Enumeration Date 01/14/2013
Last Updated 01/14/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1201 NE 68TH ST
OKLAHOMA CITY OK, 73111-7817, US
Phone (405) 639-7561
Fax
Business Location
1201 NE 68TH ST
OKLAHOMA CITY OK, 73111-7817, US
Phone (405) 639-7561
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Tony Fernando Wise PASTOR NPI is 1265779920, taxonomy code is 101Y00000X Tony Fernando Wise PASTOR physically located at 1201 Ne 68th St, Oklahoma City OK, 73111-7817. NPI Number Tony Fernando Wise PASTOR has the Individual type.

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1265779920 NPI number is provided on an as is basis without warranty of any kind. 1265779920 is maintained by the National Plan & Provider Enumeration System. The contents of Tony Fernando Wise PASTOR are for informational purposes only.