Individual
BROOKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NORTH EAST THIRD, KINGSTON, OK 73439
(580) 564-9033
Mailing address
400 NORTH EAST THIRD, KINGSTON, OK 73439
(580) 564-9033
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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