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1528340874
DEBRA J POLK-MAUTERER
MOORE, OK
NPI
1528340874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 12040)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
Mrs. DEBRA J POLK-MAUTERER DPh.
1041 SW 19TH ST
MOORE, OK 73160-2806
Phone number: 405-793-1803
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Mailing Address
Mrs. DEBRA J POLK-MAUTERER DPh.
3805 NW PIONEER ST
NORMAN, OK 73072-1245
Phone number: 405-329-6090
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