Most Relevant Information
Provider Data
| NPI Number: | 1003227083 |
| Provider Name: | MICHELLE LEA BUNCH |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2014 |
| Last Updated: | 05/13/2014 |
Provider Practice Location
92117 S 4622 RD
BUNCH
OK
749315024
Practice Location Phone/Fax
| Phone: | 9185755310 |
| Fax: |
Provider Mailing Location
92117 S 4622 RD
BUNCH
OK
749315024
Provider Mailing Phone/Fax
| Phone: | 9185755310 |
| Fax: |