Individual
BROOKE ASHLEY PENDERGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E EUFAULA ST, NORMAN, OK 73069-6017
(405) 447-4499
Mailing address
17424 GOLDEN HAWK LN, EDMOND, OK 73012-7053
(303) 956-8125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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