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Individual

ASHLEY BROOKE EAKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
(918) 355-0995
Mailing address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
(918) 355-0995

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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