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1306500186
AUSTIN LANE BROWN
TULSA, OK
NPI
1306500186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4657)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
AUSTIN LANE BROWN PA-C
1725 E 19TH ST STE 800
TULSA, OK 74104-5464
Phone number: 918-301-2505
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Mailing Address
AUSTIN LANE BROWN PA-C
11380 S 282ND EAST AVE
COWETA, OK 74429-5013
Phone number: 918-906-2175
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