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Alicia Bruner
NPI 1154605426 · on the registry since 2011
Practice
- Address
- 12512 Bannockburn Pl
Oklahoma City, OK 73142 - Phone
- (405) 414-4029
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101Y00000X
101YS0200X
104100000X
106H00000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma