RAYMOND BRADLEY MCMILLIN

TISHOMINGO, OK
NPI1194088815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TR0400X Psychologist, Rehabilitation
Enumeration Date2012-06-18
Last Update Date2012-06-18
Business Address
Mr. RAYMOND BRADLEY MCMILLIN BS,BHRS
801 E MAIN ST
TISHOMINGO, OK 73460-2351
Phone number: 580-371-3799
Mailing Address
Mr. RAYMOND BRADLEY MCMILLIN BS,BHRS
122 REDBUD LN
POTEAU, OK 74953-2040
Phone number: 918-647-1610