Individual
BRANDI LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31870 E. HWY 51, COWETA, OK 74429
(918) 279-3395
Mailing address
31870 E. HWY 51, COWETA, OK 74429
(918) 279-3395
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
32305488
OK
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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