JOHN MICHAEL BREST

SAPULPA, OK
NPI1699082990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: OK  LO 18)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
-- JOHN MICHAEL BREST C.O., C.Ped
4011 FRONTIER RD
SAPULPA, OK 74066-9383
Phone number: 918-227-2704
Mailing Address
-- JOHN MICHAEL BREST C.O., C.Ped
4011 FRONTIER RD
SAPULPA, OK 74066-9383
Phone number: 918-227-2704