Individual
SUZANNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1220 E GRAND AVE, TONKAWA, OK 74653-4022
(580) 628-6395
Mailing address
1220 E GRAND AVE, TONKAWA, OK 74653-4022
(580) 628-6395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
354
OK
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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