Individual
DERRELL LAMONT SANDERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHCM II
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
PO BOX 400, NORMAN, OK 73070-0400
(405) 360-5100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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