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ELIANA QUINTERO

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215400544

Individual Registrant:
 ELIANA  QUINTERO 
Gender: F
Sole Proprietor

Location and contact information for practice:
4456 SPRUCE ST  KIEFER, OK 74041-3029 US
Tel: 918-633-5246  Fax: --

Contact information for business:
6600 S YALE AVE STE 1400 TULSA, OK 74136-3331 US
Tel: 918-488-6687  Fax: 918-488-6098

Registration Information:
NPI: 1215400544
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
OK86881

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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