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1568515153
KENNETH W BROOKS
OKLAHOMA CITY, OK
NPI
1568515153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 510)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- KENNETH W BROOKS PA
825 NE 10TH ST OUPB5200
OKLAHOMA CITY, OK 73104-5417
Phone number: 405-271-7770
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Mailing Address
-- KENNETH W BROOKS PA
1122 NE 13TH ST ORI 236
OKLAHOMA CITY, OK 73117-1039
Phone number:
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