Individual
CHERYL L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35010 S 4465 RD, VINITA, OK 74301-6672
(918) 782-4050
(918) 782-4766
Mailing address
35010 S 4465 RD, VINITA, OK 74301-6672
(918) 782-4050
(918) 782-4766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
261QM0801X
OK
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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