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Wylie C Hunter, LPN

Licensed Practical Nurse in Claremore, OK. Individual provider (NPI-1).

NPI number1003660135
StatusActive
Last updated in NPPESApr 15, 2024

Details

NPI
1003660135
Entity type
Individual (NPI-1)
Name
Mr. Wylie C Hunter
Credential
LPN
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2024
Certification date
Apr 15, 2024
Last updated
Apr 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse209591OKYes

Practice location

101 S Moore Ave
Claremore, OK 74017-5047

Phone 918-342-6200

Mailing address

701 W 101st Pl S Apt 618
Jenks, OK 74037-3537

Phone 918-302-8209

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