Individual
BRENDLEE JAMES GENZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 N RAMSEY ST, STILLWATER, OK 74075-3324
(918) 644-1639
Mailing address
1415 N RAMSEY ST, STILLWATER, OK 74075-3324
(918) 644-1639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25408431
OK
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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