Individual
ROSLYN BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
Mailing address
PO BOX 1182, 1916 E PERKINS, GUTHRIE, OK 73044-1182
(405) 282-8232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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