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Individual

NATHANIEL BRANDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 E MAIN ST, NORMAN, OK 73071, NORMAN, OK 73071
(940) 597-5567
Mailing address
3625 24TH AVE SE APT 9, NORMAN, OK 73071-3106

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0924R
OK

Other

Enumeration date
07/08/2025
Last updated
07/08/2025
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