JOHN MICHAEL BOUSUM

CLAREMORE, OK
NPI1134371370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  14372)
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
Dr. JOHN MICHAEL BOUSUM Pharm.D.
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6648
Mailing Address
Dr. JOHN MICHAEL BOUSUM Pharm.D.
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6648
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