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1912289810
NICHOLE IARRUSSO
OWASSO, OK
NPI
1912289810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 14704)
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
Dr. NICHOLE IARRUSSO PharmD
12802 E 96TH ST N
OWASSO, OK 74055-5371
Phone number: 918-272-7467
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Mailing Address
Dr. NICHOLE IARRUSSO PharmD
5727 E 143RD ST S
BIXBY, OK 74008-3734
Phone number: 580-980-0425
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