LEA DOMENIQUE BRYAN

EDMOND, OK
NPI1073020988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SPO18291)
Enumeration Date2018-01-02
Last Update Date2023-07-18
Business Address
LEA DOMENIQUE BRYAN CRNP
1705 RENAISSANCE BLVD
EDMOND, OK 73013-3041
Phone number: 405-844-4978
Mailing Address
LEA DOMENIQUE BRYAN CRNP
1701 RENAISSANCE BLVD
EDMOND, OK 73013-3086
Phone number: 405-844-4978
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