Individual
CASSANDRA BRILLHART-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
619 N MAIN ST BLDG D, MUSKOGEE, OK 74401-4431
(918) 682-0222
Mailing address
21501 E 151ST ST S, COWETA, OK 74429-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202280
OK
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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