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1508580093
BRAIN FUBI NIBA
OKLAHOMA CITY, OK
NPI
1508580093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 18541)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
BRAIN FUBI NIBA rph
9000 S MAY AVE
OKLAHOMA CITY, OK 73159-6602
Phone number: 405-691-1148
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Mailing Address
BRAIN FUBI NIBA rph
13704 S BROOKLINE AVE
OKLAHOMA CITY, OK 73170-2098
Phone number: 405-549-6162
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