Individual
DONNA C BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
12021 S 2ND ST, JENKS, OK 74037-3609
(918) 298-5808
Mailing address
12021 S 2ND ST, JENKS, OK 74037-3609
(918) 298-5808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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