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Individual

AMANDA HUCKABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
(918) 342-0097
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
(918) 342-0097

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0129884
OK

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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