Individual
GYUAWN HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Mailing address
13916 JEFFERY DR, EDMOND, OK 73013-4716
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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