Luis Alfonse Jimenez Rincon
Luis Alfonse Jimenez Rincon is a Community/Behavioral Health Agency in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2013
Practice location Address checks out
3501 S 1st StBroken Arrow, OK 74012-7916
Phone: (918) 813-3826
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 171M00000X (OK) |
|---|
Record details
| NPI number | 1760817977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2013 |
| Last updated in NPPES | September 6, 2013 |
| Mailing address | 3501 S 1st St, Broken Arrow, OK 74012-7916 |
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