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1013264001
JORDAN RAE FOLKERTS
SALLISAW, OK
NPI
1013264001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 15209)
Enumeration Date
2012-08-08
Last Update Date
2018-04-19
Business Address
Mrs. JORDAN RAE FOLKERTS Pharm D
213 E REDWOOD AVE
SALLISAW, OK 74955-2811
Phone number: 918-774-1161
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Mailing Address
Mrs. JORDAN RAE FOLKERTS Pharm D
PO BOX 210
MULDROW, OK 74948-0210
Phone number: 479-461-7405
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