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1023189388
JACK LEE JUSTICE
PAULS VALLEY, OK
NPI
1023189388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 8244)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
Mr. JACK LEE JUSTICE DPh
110 BURR AVE
PAULS VALLEY, OK 73075-3848
Phone number: 405-238-7391
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Mailing Address
Mr. JACK LEE JUSTICE DPh
110 BURR AVE
PAULS VALLEY, OK 73075-3848
Phone number: 405-238-7391
Copy
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