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Individual

HELEN M BUMPUS

Active
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Individual

HELEN M BUMPUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12376
OK
2080P0006X
Developmental - Behavioral Pediatrics Physician
12376
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100146380B
KS
05
100192200A
OK
05
100192200B
OK
01
2050439602
FIRST GUARD HEALTH
01
A002
TRI CARE STD
Enumeration date
06/10/2005
Last updated
05/04/2011
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