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1487151106
STEPHANI BROOKE BRISBIN
BROKEN ARROW, OK
NPI
1487151106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2857)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
Mrs. STEPHANI BROOKE BRISBIN
2950 S ELM PL
BROKEN ARROW, OK 74012-7877
Phone number: 918-451-5191
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Mailing Address
Mrs. STEPHANI BROOKE BRISBIN
364355 E 5000 RD
CLEVELAND, OK 74020-6904
Phone number: 931-436-7146
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