Individual
GWENDOLYN PATRICE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1730
Mailing address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0059640
OK
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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