Individual
LARRY BIRDINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2714 LAUREL DR, NORMAN, OK 73072-9634
(405) 626-0567
Mailing address
2714 LAUREL DR, NORMAN, OK 73072-9634
(405) 626-0567
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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