Individual
CALEN FULPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
221 S FLORENCE AVE, CLAREMORE, OK 74017-7262
(918) 341-2020
Mailing address
221 S FLORENCE AVE, CLAREMORE, OK 74017-7262
(918) 341-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2924
OK
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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