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Individual

BRYAN SCOTT MCCHAREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11158 LARKIN LN, MIDWEST CITY, OK 73130-3824
(808) 351-6716
Mailing address
11158 LARKIN LN, MIDWEST CITY, OK 73130-3824
(808) 351-6716

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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