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Organization

DR ROBERT D HEAD AND DR JENNIFER L HEAD LLC ROBERT D HEAD JR SOLE MBR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT DALE HEAD JR. O.D. (OWNER/OPTOMETRIST)
(580) 355-1298
Entity
Organization

Contact information

Practice address
1302 SW C AVE, LAWTON, OK 73501-4243
(580) 355-1298
(580) 581-7201
Mailing address
1302 SW C AVE, LAWTON, OK 73501-4243
(580) 355-1298
(580) 581-7201

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1049
OK

Other

Enumeration date
10/06/2010
Last updated
10/06/2010
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