Individual
MR. BASIL KEITH BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR
Contact information
Practice address
6408 BRANIFF DR, OKLAHOMA CITY, OK 73105-1243
(405) 615-7367
Mailing address
6409 BRANIFF DR, OKLAHOMA CITY, OK 73105-1242
(405) 615-7367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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