Individual
CLETA ANN HILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2333
(405) 382-1467
(405) 382-5704
Mailing address
PO BOX 832, NOBLE, OK 73068-0832
(405) 326-7185
(405) 382-5704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10297
OK
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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