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Jordan Brown

NPI 1497191100 · on the registry since 2013 · sole proprietor

Practice

Address
913 S 22nd St
Muskogee, OK 74401
Phone
(918) 360-6592

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma