Individual
DR. HUBERTINA JM HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1029 E TAFT AVE, SAPULPA, OK 74066-4570
(918) 227-3937
(888) 972-5679
Mailing address
1029 E TAFT AVE, SAPULPA, OK 74066-4570
(918) 227-3937
(888) 972-5679
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2243
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100767760A
—
OK
Enumeration date
09/20/2006
Last updated
05/27/2020
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