Individual
AMANDA NATASHA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7628 NW BALDWIN AVE, LAWTON, OK 73505-2422
(580) 585-7734
Mailing address
7628 NW BALDWIN AVE, LAWTON, OK 73505-2422
(580) 585-7734
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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