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Individual

MRS. QUANDRA DENISE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19823 S 530 RD, TAHLEQUAH, OK 74464-0544
(918) 816-5852
Mailing address
19823 S 530 RD, TAHLEQUAH, OK 74464-0544

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
227609
OK

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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