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1700486750
CHARLES MCPHERRIN RUSSELL
LAWTON, OK
NPI
1700486750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 18872)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
CHARLES MCPHERRIN RUSSELL
6301 NW QUANNAH PARKER TRL
LAWTON, OK 73505-1326
Phone number: 580-510-0357
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Mailing Address
CHARLES MCPHERRIN RUSSELL
503 4TH ST APT B
ELGIN, OK 73538-9232
Phone number: 580-513-1331
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