Individual
DEBORAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
124 E MAIN ST, HULBERT, OK 74441-8902
(918) 772-2879
(918) 772-1233
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(772) 339-0772
(918) 772-3638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102939
OK
Other
Enumeration date
01/22/2018
Last updated
06/07/2019
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