Individual
BRADLEY HOLLOMAN UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16120 CANTERA CREEK DR, EDMOND, OK 73013-1473
(405) 229-3613
Mailing address
16120 CANTERA CREEK DR, EDMOND, OK 73013-1473
(405) 229-3613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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