Individual
EVELYN HIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 W MARTIN LUTHER KING ST, MUSKOGEE, OK 74401-3829
(918) 682-7879
(918) 682-3402
Mailing address
PO BOX 487, MUSKOGEE, OK 74402-0487
(918) 682-7879
(918) 682-3402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6768
OK
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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