Individual
BRANDY DONNELL CLOPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 SHADY ST, FORT GIBSON, OK 74434-8261
(918) 351-9928
Mailing address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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