Individual
DARYL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7116 MEADOW LAKE DR, YUKON, OK 73099-6033
(757) 768-1782
Mailing address
7116 MEADOW LAKE DR, YUKON, OK 73099-6033
(757) 768-1782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
741
OK
Other
Enumeration date
01/08/2018
Last updated
05/29/2019
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