| Doctor Name: | RODSLEN LEEARN BROWN |
| NPI Number: | 1164643557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ETC |
| License Number: | |
| Business Practice Address: | 143 N 4 Mile Rd Fort Gibson, OK - 744347705 |
| Business Phone Number: | 9184412797 |
| Business Fax Number: | 9186835210 |
| Mailing Address: | Po Box 1976, 143 North 4 Mile Road FORT GIBSON |
| State: | OK |
| Postal Code: | 744341976 |
| Phone Number: | 9186832753 |
| Fax Number: | 9186835210 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |