Individual
ABRAHAM COLSON BEARPAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 MARTIN LUTHER KING BLVD, WAGONER, OK 74467-6928
(918) 316-8180
Mailing address
902 MARTIN LUTHER KING BLVD, WAGONER, OK 74467-6928
(918) 316-8180
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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