Jacqueline Brashear

NPI #1790818631 in Tulsa, Oklahoma

Provider Information

NPI Number: 1790818631
Entity Type: Individual
Name: Jacqueline Brashear
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2007
Last Updated: Jan 10, 2008

Practice Location

Address: 8270 E . 71ST ST.
City: Tulsa
State: Oklahoma
ZIP Code: 74133-2908
Phone: (918) 250-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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