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1285114504
THEODORE MAUCK
TULSA, OK
NPI
1285114504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 12846)
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
Mr. THEODORE MAUCK DPh
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-3131
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Mailing Address
Mr. THEODORE MAUCK DPh
4013 W VICKSBURG ST
BROKEN ARROW, OK 74011-1359
Phone number: 918-633-2456
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