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1912923491
KATHLEEN WISE
BROKEN ARROW, OK
NPI
1912923491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist Pharmacotherapy
(Licence: OK 13063)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
DR. KATHLEEN WISE PHARMD.
3800 W VICKSBURG ST
BROKEN ARROW, OK 74011-1362
Phone number: 918-449-8834
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Mailing Address
DR. KATHLEEN WISE PHARMD.
3800 W VICKSBURG ST
BROKEN ARROW, OK 74011-1362
Phone number: 918-449-8834
Copy
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