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Individual

BONNIE WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
H.A.S.

Contact information

Practice address
2900 W 3RD ST, ELK CITY, OK 73644-4324
(580) 243-0939
Mailing address
PO BOX 451, ELK CITY, OK 73648-0451
(580) 243-0939

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1092
OK

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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