Individual
BRAXTON MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 625-4305
Mailing address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 625-4305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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