Individual
MILES BRUNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5532 S VENTURA DR, OKLAHOMA CITY, OK 73135-5416
(405) 921-4389
Mailing address
5532 S VENTURA DR, OKLAHOMA CITY, OK 73135-5416
(405) 921-4389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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