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1043318892
JANA DETRICK
OKLAHOMA CITY, OK
NPI
1043318892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 11034)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- JANA DETRICK DPh
921 NE 13TH ST (119)
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-270-0501
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Mailing Address
-- JANA DETRICK DPh
8204 N RICHLAND RD
YUKON, OK 73099-9130
Phone number: 405-354-9552
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