RUSSELL WAYNE BINGHAM

MUSKOGEE, OK
NPI1386774016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  52)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. RUSSELL WAYNE BINGHAM CADC
4009 EUFALA ST
MUSKOGEE, OK 74403
Phone number: 918-681-0484
Mailing Address
Mr. RUSSELL WAYNE BINGHAM CADC
1203 E BROADWAY
MUSKOGEE, OK 74403
Phone number: 918-682-2841
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