Individual
SARA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 SE 7TH ST, MOORE, OK 73160-8340
(405) 693-9853
Mailing address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 945-6238
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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