Individual
JACQUELINE BRASHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 E . 71ST ST., TULSA, OK 74133-2908
(918) 250-0180
(918) 250-8508
Mailing address
8270 E. 71ST ST., TULSA, OK 74133-2908
(918) 250-0180
(918) 250-8508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
237987
OK
Other
Enumeration date
03/13/2007
Last updated
01/10/2008
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