Individual
MR. GREGORY BERNARD BENJAMIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 NE 46TH ST, OKLAHOMA CITY, OK 73105-3309
(405) 602-6331
Mailing address
3728 SE 48TH PL, OKLAHOMA CITY, OK 73135-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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