Individual
CASSIE RENEE BRIBIESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 302-4210
Mailing address
1100 CROMWELL AVE, MUSKOGEE, OK 74403-2123
(918) 348-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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