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Individual

CHARLES BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 NE 19TH ST, MOORE, OK 73160-6302
(405) 626-6696
Mailing address
800 NE 19TH ST, MOORE, OK 73160-6302
(405) 626-6696

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
07/05/2010
Last updated
06/16/2011
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