MISS Brenda Darlene Jetton

NPI #1144435405 in Mounds, Oklahoma

Provider Information

NPI Number
1144435405
Entity Type
Individual
Name
MISS Brenda Darlene Jetton
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
May 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
18414 S HWY 75
City
Mounds
ZIP Code
74047-7411
Phone
(918) 827-4022

Specialties & Taxonomy Codes

Specialty
Specialist

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