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Individual

BRANITA DAWN JAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4401 W MEMORIAL RD STE 143, OKLAHOMA CITY, OK 73134-1787
(405) 486-8600
Mailing address
2660 S LUTHER RD, HARRAH, OK 73045-6368
(405) 823-7214

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
10025322
OR
163WH0200X
Home Health Registered Nurse
Primary
R0091363
OK
163WH0200X
Home Health Registered Nurse
RN2382427
MA

Other

Enumeration date
10/26/2024
Last updated
10/26/2024
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