Individual
MS. MIRANDA BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 NW 39TH ST, APT 210, OKLAHOMA CITY, OK 73118-2678
(580) 318-1496
Mailing address
1824 NW 39TH ST, APT 210, OKLAHOMA CITY, OK 73118-2678
(580) 318-1496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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