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Ridwan Azees

Student in an Organized Health Care Education/Training Program in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1891316618
StatusActive
Last updated in NPPESMay 4, 2020

Details

NPI
1891316618
Entity type
Individual (NPI-1)
Name
Ridwan Azees
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2020
Certification date
May 4, 2020
Last updated
May 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–OKYes

Practice location

7316 Sandlewood Dr
Oklahoma City, OK 73132-3988

Phone 405-371-3381

Mailing address

7316 Sandlewood Dr
Oklahoma City, OK 73132-3988

Phone 405-371-3381

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