Individual
MS. BREANNA LANE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 W 40TH ST, SAND SPRINGS, OK 74063-2644
(918) 284-6824
Mailing address
303 W 40TH ST, SAND SPRINGS, OK 74063-2644
(918) 284-6824
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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