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Individual
BRENT FIVECOAT
Active
Individual
BRENT FIVECOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102193
OK
363L00000X
Nurse Practitioner
201806384RN
OR
363L00000X
Nurse Practitioner
Primary
201808083NP-PP
OR
363L00000X
Nurse Practitioner
AP60909960
WA
363L00000X
Nurse Practitioner
RN60908911
WA
363LF0000X
Family Nurse Practitioner
102193
OK
Other
Enumeration date
04/06/2016
Last updated
03/17/2021
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