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1841523594
BRANDI SHANTIL HAMM
TULSA, OK
NPI
1841523594
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Former Name
BRANDI SHANTIL WALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0083172)
Enumeration Date
2009-09-14
Last Update Date
2013-10-23
Business Address
Ms. BRANDI SHANTIL HAMM NP
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-502-3939
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Mailing Address
Ms. BRANDI SHANTIL HAMM NP
9276 S 259TH EAST AVE
BROKEN ARROW, OK 74014-7828
Phone number: 918-812-0562
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