Individual
MRS. SHERRI GEANETTE HILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N. BROADWAY, CARNEGIE, OK 73015
(580) 654-1439
(580) 654-2637
Mailing address
225 N. BROADWAY, P.O. BOX 99, CARNEGIE, OK 73015
(580) 654-1439
(580) 654-2637
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1196
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774120A
—
OK
Enumeration date
03/01/2018
Last updated
07/21/2022
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