SHANDA R. JACKSON

EDMOND, OK
NPI1083767248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  10876)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- SHANDA R. JACKSON
2312 WOODFORD WAY
EDMOND, OK 73034-6444
Phone number: 405-340-1611
Mailing Address
-- SHANDA R. JACKSON
2312 WOODFORD WAY
EDMOND, OK 73034-6444
Phone number: 405-340-1611
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