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NPI Profile for BRANDY R TREAGESSER in OKMULGEE, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Perinatal |
163WP1700X |
| NPI # | 1932683687 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/19/2018 | |
| Last updated | 09/19/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRANDY R TREAGESSER
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BRANDY R TREAGESSER