Individual
MRS. VIVIAN L HAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 N KERN AVE, OKMULGEE, OK 74447-7062
(918) 756-2343
(918) 756-2430
Mailing address
1215 N KERN AVE, OKMULGEE, OK 74447-7062
(918) 756-2343
(918) 756-2430
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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