Individual
MRS. CHARISSA K BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 BRIGHTSIDE DR, MIDWEST CITY, OK 73110-1622
(405) 974-1741
Mailing address
624 BRIGHTSIDE DR, MIDWEST CITY, OK 73110-1622
(405) 974-1741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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