Individual
BRYAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 ROGERS ST, HOLDENVILLE, OK 74848
(405) 908-0997
Mailing address
PO BOX 694, HOLDENVILLE, OK 74848-0694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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