Individual
MISS BROOKE NACOLE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 447-4499
Mailing address
805 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 447-4499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
OK
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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