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1841201944
CHARLES BRENT BUSHNELL
TULSA, OK
NPI
1841201944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 12675)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
-- CHARLES BRENT BUSHNELL
3414 S YALE AVE STE F
TULSA, OK 74135-8020
Phone number: 918-749-4200
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Mailing Address
-- CHARLES BRENT BUSHNELL
6906 E 75TH CT
TULSA, OK 74133-3032
Phone number:
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