Individual
HARLAN EUGENE HUBBARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 605-2086
Mailing address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 605-2086
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17110619366
OK
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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