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Isela Ruiz

Counselor in Moore, OK. Individual provider (NPI-1).

NPI number1497435481
StatusActive
Last updated in NPPESJul 24, 2023

Details

NPI
1497435481
Entity type
Individual (NPI-1)
Name
Isela Ruiz
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 24, 2023
Certification date
Jul 24, 2023
Last updated
Jul 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor11590OKYes

Practice location

620 Nw 5th St Ste D
Moore, OK 73160-3947

Phone 405-208-4469 · Fax 405-208-4472

Mailing address

620 Nw 5th St Ste D
Moore, OK 73160-3947

Phone 405-208-4469 · Fax 405-208-4472

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