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1548540073
DIEM B PHAM
MOORE, OK
NPI
1548540073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 12618)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- DIEM B PHAM pharmD
1201 NW 12TH ST
MOORE, OK 73170-1220
Phone number: 405-799-2244
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Mailing Address
-- DIEM B PHAM pharmD
1025 SW 129TH ST
OKLAHOMA CITY, OK 73170-6997
Phone number: 405-378-6722
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