Individual
MISS BRANDY CHRISTINA DISMUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 NE 10TH ST, STE B106, MIDWEST CITY, OK 73110-3600
(405) 606-4441
(888) 875-1829
Mailing address
2000 NE GRAND BLVD, OKLAHOMA CITY, OK 73111-1828
(405) 974-8039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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