Individual
MR. ROBERT DWAIN BUNDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C. (CANDIDATE)
Contact information
Practice address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 735-5263
Mailing address
3000 CHAUTAUQUA AVE, CONDO 213, NORMAN, OK 73072-7734
(405) 201-0337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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