Individual
KOBE BRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 242-7711
Mailing address
1545 N MIDWEST BLVD APT 6, OKLAHOMA CITY, OK 73110-3257
(405) 213-5995
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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