STEFAN JOSEPH MIRANOV

EDMOND, OK
NPI1578175246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  15775)
Enumeration Date2020-08-23
Last Update Date2020-08-23
Business Address
DR. STEFAN JOSEPH MIRANOV
1308 N BRYANT AVE
EDMOND, OK 73034-4950
Phone number: 405-359-1025
Mailing Address
DR. STEFAN JOSEPH MIRANOV
1308 N BRYANT AVE
EDMOND, OK 73034-4950
Phone number: 405-359-1025