Individual
BRAYDEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 E 14TH ST, EDMOND, OK 73034-4747
(405) 562-0159
Mailing address
223 E 14TH ST, EDMOND, OK 73034-4747
(405) 562-0159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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