BRADY W IBA

EDMOND, OK
NPI1043894132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OK  8368)
Enumeration Date2021-05-06
Last Update Date2024-09-18
Business Address
BRADY W IBA DO
3024 WIND CALL LN
EDMOND, OK 73034-0826
Phone number: 817-705-9625
Mailing Address
BRADY W IBA DO
3024 WIND CALL LN
EDMOND, OK 73034-0826
Phone number: 817-705-9625
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