Individual
SHERYL JOHNSON-BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 S 7TH ST, DUNCAN, OK 73533-4940
(580) 255-8800
Mailing address
14 NW 28TH ST, LAWTON, OK 73505-6214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731690
—
OK
Enumeration date
09/15/2016
Last updated
09/15/2016
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