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Braxton M Lamunyon

Case Manager/Care Coordinator in Perry, OK. Individual provider (NPI-1).

NPI number1851976005
StatusActive
Last updated in NPPESMar 9, 2021

Details

NPI
1851976005
Entity type
Individual (NPI-1)
Name
Braxton M Lamunyon
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 9, 2021
Certification date
Mar 9, 2021
Last updated
Mar 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

502 N 14th St
Perry, OK 73077-5022

Phone 918-308-5512 · Fax 580-215-5767

Mailing address

502 N 14th St
Perry, OK 73077-5022

Phone 918-308-5512 · Fax 580-215-5767

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