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Individual

PAUL WADDELL HUTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 233-2300
Mailing address
626 DEER RUN, ENID, OK 73703-3426
(580) 242-3003
(580) 237-6174

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
94632
OK

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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