Individual
HILLARY DONN ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 GERONIMO AVE, KINGSTON, OK 73439-4509
(580) 564-7244
Mailing address
7715 GERONIMO AVE, KINGSTON, OK 73439-4509
(580) 564-7244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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