Individual
BRANDON ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
834 SW 19TH ST, MOORE, OK 73160-2024
(405) 613-2247
Mailing address
834 SW 19TH ST APT 206, MOORE, OK 73160-2026
(405) 613-2247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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