Individual
MRS. KORIE BUJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
4301 NE 23RD ST, OKLAHOMA CITY, OK 73121-6801
(405) 613-4955
Mailing address
1820 NW 11TH ST APT 2, OKLAHOMA CITY, OK 73106-2261
(405) 937-9213
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
101YA0400X
OK
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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