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1932319779
MARSHA JO BALLEW
ELK CITY, OK
NPI
1932319779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 9975)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Ms. MARSHA JO BALLEW D.Ph.
1705 W 2ND ST
ELK CITY, OK 73644-4455
Phone number: 580-821-5579
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Mailing Address
Ms. MARSHA JO BALLEW D.Ph.
1022 W BROADWAY AVE
ELK CITY, OK 73644-5224
Phone number: 580-225-1637
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