Individual
JEANIEROSE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2167
Mailing address
8732 NW 84TH ST, OKLAHOMA CITY, OK 73132-4025
(405) 613-2808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1001
OK
Other
Enumeration date
09/09/2019
Last updated
11/03/2023
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