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1245384361
BERNIE B WYATT
OKEMAH, OK
NPI
1245384361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 8862)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- BERNIE B WYATT
324 W BROADWAY ST
OKEMAH, OK 74859-2608
Phone number: 918-623-1771
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Mailing Address
-- BERNIE B WYATT
324 W BROADWAY ST
OKEMAH, OK 74859-2608
Phone number: 918-623-1036
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