Individual
CHARLES GRANGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 N GREENWOOD, SUITE 320, TULSA, OK 74120
(918) 599-7277
Mailing address
4303 S LAKEWOOD AVE, TULSA, OK 74135-6537
(504) 884-0080
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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