Most Relevant Information
Provider Data
| NPI Number: | 1003660135 |
| Provider Name: | WYLIE C HUNTER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 209591 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
101 S MOORE AVE
CLAREMORE
OK
740175047
Practice Location Phone/Fax
| Phone: | 9183426200 |
| Fax: |
Provider Mailing Location
701 W 101ST PL S APT 618
JENKS
OK
740373537
Provider Mailing Phone/Fax
| Phone: | 9183028209 |
| Fax: |