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Individual

RUSSELL HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4742
(918) 663-0203
Mailing address
44 E 17TH ST APT 1, TULSA, OK 74119-4825
(580) 491-5925
(918) 663-0203

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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