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1528064763
SAMUEL LYLE HAGUE
BLACKWELL, OK
NPI
1528064763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 22530)
Enumeration Date
2005-06-22
Last Update Date
2008-03-25
Business Address
-- SAMUEL LYLE HAGUE MD
1009 W FERGUSON AVE
BLACKWELL, OK 74631-5602
Phone number: 580-363-0052
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Mailing Address
-- SAMUEL LYLE HAGUE MD
1009 W FERGUSON AVE
BLACKWELL, OK 74631-5602
Phone number: 580-363-0052
Copy
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