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1235218603
TERRY MACK MOORE
GUYMON, OK
NPI
1235218603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 8742)
Enumeration Date
2006-11-04
Last Update Date
2011-04-01
Business Address
Mr. TERRY MACK MOORE D.Ph.
115 MEDICAL DR
GUYMON, OK 73942-3606
Phone number: 580-338-7565
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Mailing Address
Mr. TERRY MACK MOORE D.Ph.
1307 N SUNSET LN
GUYMON, OK 73942-3142
Phone number: 580-338-7565
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