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Individual

BRANDON JANUARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
15007 BRISTOL PARK BLVD, OKLAHOMA CITY, OK 73013
(405) 749-8000
(405) 749-8007
Mailing address
15007 BRISTOL PARK BLVD, OKLAHOMA CITY, OK 73013
(405) 749-8000
(405) 749-8007

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3996
OK

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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