Individual
MR. JOHNATHAN T SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103-3017
(405) 525-3959
Mailing address
2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103-3017
(405) 525-3959
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
08/11/2021
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