Individual
OLIVIA HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5802 W 7TH AVE, STILLWATER, OK 74074-1158
(405) 269-2884
Mailing address
5802 W 7TH AVE, STILLWATER, OK 74074-1158
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
205895
OK
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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