Individual
BRANDI NICOLE SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 STONERIDGE RD, MORRISON, OK 73061-5800
(405) 714-2804
Mailing address
105 STONERIDGE RD, MORRISON, OK 73061-5800
(405) 714-2804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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