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1578840039
PHU PHAM
WAGONER, OK
NPI
1578840039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 14992)
Enumeration Date
2011-11-12
Last Update Date
2011-11-12
Business Address
Dr. PHU PHAM
1305 W CHEROKEE ST
WAGONER, OK 74467-4625
Phone number: 918-485-6688
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Mailing Address
Dr. PHU PHAM
2501 SW 102ND ST
OKLAHOMA CITY, OK 73159-7303
Phone number:
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