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Individual

MR. WYLIE C HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
701 W 101ST PL S APT 618, JENKS, OK 74037-3537
(918) 302-8209

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
209591
OK

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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