Individual
HILDEGARD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W COMMERCE ST, ALTUS, OK 73521-3809
(580) 480-0650
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R003706
OK
Other
Enumeration date
11/28/2023
Last updated
11/29/2023
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