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1750650883
BOB L BLACKBURN
OWASSO, OK
NPI
1750650883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 7135)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
MR. BOB L BLACKBURN DPH
13806 E 94TH ST N
OWASSO, OK 74055-4566
Phone number: 918-272-2827
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Mailing Address
MR. BOB L BLACKBURN DPH
13806 E 94TH ST N
OWASSO, OK 74055-4566
Phone number: 918-272-2827
Copy
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