Brea Davis

NPI #1437864642 in Wagoner, Oklahoma

Provider Information

NPI Number: 1437864642
Entity Type: Individual
Name: Brea Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 23, 2023
Last Updated: Jan 23, 2023

Practice Location

Address: 72548 S 322 WAY LOT 31
City: Wagoner
State: Oklahoma
ZIP Code: 74467-7050
Phone: (918) 816-9277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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