Individual
BRANDI GOADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 CHESTNUT DR, YUKON, OK 73099-5634
(405) 568-0123
Mailing address
104 CHESTNUT DR, YUKON, OK 73099-5634
(405) 568-0123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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