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1396128013
BROOKE DAVIS
KINGSTON, OK
NPI
1396128013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- BROOKE DAVIS
400 NORTH EAST THIRD
KINGSTON, OK 73439
Phone number: 580-564-9033
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Mailing Address
-- BROOKE DAVIS
400 NORTH EAST THIRD
KINGSTON, OK 73439
Phone number: 580-564-9033
Copy
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