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Individual

JESSICA L BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8100 S WALKER AVE, SUITE B, OKLAHOMA CITY, OK 73139-9402
(405) 760-1316
Mailing address
2609 SW 60TH ST, OKLAHOMA CITY, OK 73159-1703

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
504
OK

Other

Enumeration date
05/22/2007
Last updated
08/12/2008
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