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Individual

MR. BRUCE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
401 N CHURCH ST, SUITE K, POTEAU, OK 74953-3502
(918) 649-0230
(918) 649-1492
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
03/21/2016
Last updated
06/08/2016
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