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Individual

MR. RONALD LEE BRAZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN CERT ABOC

Contact information

Practice address
1900 NW 39TH ST, OKLAHOMA CITY, OK 73118
(405) 524-5367
(405) 524-5367
Mailing address
1900 NW 39TH ST, OKLAHOMA CITY, OK 73118
(405) 524-5367
(405) 524-5367

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
06/22/2007
Last updated
05/26/2008
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