Individual
MRS. RACHEL BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27901 W HWY 16, BRISTOW, OK 74010
(918) 367-6026
Mailing address
27901 W HWY 16, BRISTOW, OK 74010
(918) 367-6026
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
OK
347C00000X
Private Vehicle
Primary
—
OK
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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