Individual
SUSAN DOROTHY BRECHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1308 CRADDUCK RD, ADA, OK 74820-8442
(580) 332-3699
Mailing address
RR 5 BOX 1375, COALGATE, OK 74538-9548
(580) 428-3407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96698
OK
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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