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1699855296
LISA FILLMORE
ADA, OK
NPI
1699855296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 9926)
Enumeration Date
2006-10-17
Last Update Date
2007-07-23
Business Address
-- LISA FILLMORE
1007 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-6260
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Mailing Address
-- LISA FILLMORE
1001 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-4570
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