Provider Information for 1184910952
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Ms. CHERYL ANN BROOME MSW
Sex: Female
NPI: 1184910952
Last Updated: 2011-09-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1184910952 | ||||||||
| Enumeration Date | 2011-06-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 816 SOUTH 20TH STREET CHICKASHA, OK 73018 United States Phone: 405-320-5584 | Fax: | ||||||||
| Primary Practice Address | 198 E ALMAR DR CHICKASHA, OK 73018-7327 United States Phone: 405-222-5437 | Fax: | ||||||||
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