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1174172753
RYAN PATRICK MAVIS
ADA, OK
NPI
1174172753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK R-18469)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
Dr. RYAN PATRICK MAVIS PharmD
1005 ARLINGTON ST
ADA, OK 74820-4036
Phone number: 580-272-0283
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Mailing Address
Dr. RYAN PATRICK MAVIS PharmD
309 POTOMAC DR
NORMAN, OK 73072-4536
Phone number: 405-808-7972
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