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Individual

MR. HERBERT BLAIR MONHOLLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 683-8261
Mailing address
RR 5 BOX 87, EUFAULA, OK 74432-9134
(918) 689-9441

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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