DEBRA J POLK-MAUTERER

MOORE, OK
NPI1528340874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  12040)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Mrs. DEBRA J POLK-MAUTERER DPh.
1041 SW 19TH ST
MOORE, OK 73160-2806
Phone number: 405-793-1803
Mailing Address
Mrs. DEBRA J POLK-MAUTERER DPh.
3805 NW PIONEER ST
NORMAN, OK 73072-1245
Phone number: 405-329-6090