Individual
MARQUELLE R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
8805 N 145TH EAST AVE STE 105, OWASSO, OK 74055-8530
(918) 645-0427
Mailing address
14530 E 126TH ST N, COLLINSVILLE, OK 74021-5663
(918) 645-0427
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS16907
OK
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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