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1093086654
JACQUELYN RENAE TRAVERS
EDMOND, OK
NPI
1093086654
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Former Name
JACQUELYN RENAE PEARSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: OK 14727)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- JACQUELYN RENAE TRAVERS PharmD
120 N BRYANT AVE
EDMOND, OK 73034-6302
Phone number: 405-341-8490
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Mailing Address
-- JACQUELYN RENAE TRAVERS PharmD
508 SPARROW HAWK DR
EDMOND, OK 73003
Phone number: 405-216-9612
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