Individual
BRYNA GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
(918) 542-7374
Mailing address
PO BOX 451924, GROVE, OK 74345-1924
(918) 314-7747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0045891
OK
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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