Individual
BRIANNA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 587-9471
Mailing address
5125 S UTICA AVE, TULSA, OK 74105-5727
(803) 809-8013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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