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Miss ALEXANDRIA OCTAVIA ACEVES

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1013850759
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2501 N BLACKWELDER AVE, OKLAHOMA CITY, OK, 731061402
Phone
(405) 208-5000

Specialties & Taxonomies

Physician Assistant, Surgical License: OK
Physician Assistant, Surgical License: TX
Student in an Organized Health Care Education/Training Program Primary License: OK

All Addresses

LOCATION

2501 N BLACKWELDER AVE

OKLAHOMA CITY, OK, 731061402

(405) 208-5000

MAILING

9009 HUNTING GREEN CT

FORT WORTH, TX, 761345503

(817) 627-4686