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1003938937
CLINTON KING
WAGONER, OK
NPI
1003938937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 13192)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- CLINTON KING Pharm.D
410 S DEWEY AVE
WAGONER, OK 74467-5500
Phone number: 918-485-4581
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Mailing Address
-- CLINTON KING Pharm.D
20200 E 43RD ST
BROKEN ARROW, OK 74014-1582
Phone number:
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