Individual
MRS. NIKKI LEIGH TRAPP BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E COURT ST, ATOKA, OK 74525-2047
(580) 889-3399
(580) 889-3887
Mailing address
HC 67 BOX 63, ANTLERS, OK 74523-9503
(580) 271-2413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
08/13/2012
Last updated
08/13/2012
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