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1497005110
AMY DIANE ACOSTA
MUSTANG, OK
NPI
1497005110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 13644)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
DR. AMY DIANE ACOSTA PHARM D
112 E STATE HIGHWAY 152
MUSTANG, OK 73064-4402
Phone number: 405-376-3751
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Mailing Address
DR. AMY DIANE ACOSTA PHARM D
1810 W ROSE OAK DR
MUSTANG, OK 73064-1212
Phone number: 806-676-2031
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