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1821694159
ANNA LENORE WALLIS
YUKON, OK
NPI
1821694159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 18012)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
Dr. ANNA LENORE WALLIS Pharm.D
2400 CORNWELL DR
YUKON, OK 73099-5804
Phone number: 405-354-7449
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Mailing Address
Dr. ANNA LENORE WALLIS Pharm.D
390 NE 36TH ST
OKLAHOMA CITY, OK 73105-2508
Phone number: 405-290-3000
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