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NPI Code Detail

MEDICARE: QUANTAE VEALES

MEDICARE:   QUANTAE  VEALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1013277508
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUANTAE VEALES
Provider Business Mailing Address
First Line : 8821 OAKRIDGE DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-7417
Country : US
Telephone Number : 405-834-7681
Fax Number :
Provider Business Practice Location Address
First Line : 8821 OAKRIDGE DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-7417
Country : US
Telephone Number : 405-834-7681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 05/18/2012

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Directions to “ QUANTAE VEALES ” Practice Location

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