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Individual

CAMERON EUGENE HERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1711 N GREEN AVE., PURCELL, OK 73080-4220
(405) 527-2020
(405) 527-0318
Mailing address
1711 N GREEN AVE., PURCELL, OK 73080-4220
(405) 527-2020
(405) 527-0318

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2246
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100764590A
OK
01
410042651
RAILROAD MEDICARE
OK
01
731546546
HEALTHCHOICE
OK
Enumeration date
03/21/2006
Last updated
10/27/2011
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