Individual
MR. VICTOR SHARP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 913-3676
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 913-3676
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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