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1003166687
CHARLES HEARON
DURANT, OK
NPI
1003166687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 13801)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
-- CHARLES HEARON PhramD
302 UNIVERSITY PL
DURANT, OK 74701-7110
Phone number: 580-920-1145
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Mailing Address
-- CHARLES HEARON PhramD
306 BUTTERFIELD TRL
EDMOND, OK 73003-1036
Phone number: 405-664-5699
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