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Individual

TRINA D PIPER-HUGHBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
410 4TH ST STE D, ALVA, OK 73717-2363
(580) 327-3335
Mailing address
410 4TH ST STE D, ALVA, OK 73717-2363
(058) 032-7333
(580) 327-3337

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2165
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761710A
OK
01
OKA103780
MEDICARE GROUP PTAN
OK
Enumeration date
09/20/2006
Last updated
10/21/2020
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