Individual
JULIE BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 WEXFORD AVE, OKLAHOMA CITY, OK 73179-1202
(405) 308-6564
Mailing address
3212 WEXFORD AVE, OKLAHOMA CITY, OK 73179-1202
(405) 308-6564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
K2185724
OK
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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