Individual
CHARLI YVONNE HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
Mailing address
27501 SKAGG CITY RD, TECUMSEH, OK 74873-8244
(405) 997-3249
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
67526
OK
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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