Individual
H BRAD B MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
557 N DENVER, TULSA, OK 74127-5645
(918) 455-1071
Mailing address
P. O. BOX 7, TULSA, OK 74127-5645
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
08/15/2014
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