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Individual

DR. JANICE L CHLEBORAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1017 17TH ST, WOODWARD, OK 73801-3009
(580) 256-0900
(580) 256-0905
Mailing address
1017 17TH ST, WOODWARD, OK 73801-3009
(580) 256-0900
(580) 256-0905

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16446
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100191230C
OK
Enumeration date
05/26/2006
Last updated
03/01/2021
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