MR. Robert Dwain Bundrick, L.P.C. (CANDIDATE)

NPI #1457688012 in Moore, Oklahoma

Provider Information

NPI Number: 1457688012
Entity Type: Individual
Name: MR. Robert Dwain Bundrick, L.P.C. (CANDIDATE)
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: L.P.C. (CANDIDATE)
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 1922 N EASTERN AVE
City: Moore
State: Oklahoma
ZIP Code: 73160-5605
Phone: (405) 735-5263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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