Individual
MR. BOB RANDALL GROUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASEMANAGER
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0394
(405) 425-0313
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0394
(405) 425-0313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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