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1447021290
KEIYONNA FAYELIN BRUNER
TULSA, OK
NPI
1447021290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 215765)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
Mrs. KEIYONNA FAYELIN BRUNER
6703 E 81ST ST STE E
TULSA, OK 74133-4157
Phone number: 918-494-0929
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Mailing Address
Mrs. KEIYONNA FAYELIN BRUNER
9905 S 236TH EAST AVE
BROKEN ARROW, OK 74014-6862
Phone number: 918-944-9784
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