MRS. Brandi Carol Jefferson

NPI #1740527225 in Ardmore, Oklahoma

Provider Information

NPI Number: 1740527225
Entity Type: Individual
Name: MRS. Brandi Carol Jefferson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 3, 2013
Last Updated: Jan 3, 2013

Practice Location

Address: 55 15TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2047
Phone: (580) 277-0890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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