Individual
NATHAN DANIEL UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(885) 782-7822
Mailing address
704 N FOX WAY, MUSTANG, OK 73064-1146
(580) 551-9498
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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