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Individual

BROOKE COCHENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1212 S AIR DEPOT BLVD STE 17, MIDWEST CITY, OK 73110-4860
(405) 455-6868
Mailing address
1212 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4870
(405) 455-6868

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1980010
OK

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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