Individual
MICHELLE LEA BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92117 S 4622 RD, BUNCH, OK 74931-5024
(918) 575-5310
Mailing address
92117 S 4622 RD, BUNCH, OK 74931-5024
(918) 575-5310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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