Individual
MISS BRANDI CARMEN EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 642-6495
Mailing address
30345 S PINE RIDGE RD, CATOOSA, OK 74015-6161
(918) 852-0066
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
117837
OK
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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