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Contact Information

MARQUELLE R BROWN, NUTRITIONIST
8805 N 145TH EAST AVE STE 105
OWASSO, OK74055-8530
 Phone: 918-645-0427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MARQUELLE R BROWN · (Female)

NPI Number 1306428222
Status Active
Credentials NUTRITIONIST
Entity Individual
Enumeration date 04/21/2021
Last updated 04/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # CNS16907
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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