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1942714597
CARISSA ANN FOSTER
TULSA, OK
NPI
1942714597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 17130)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
CARISSA ANN FOSTER
4107 S HARVARD AVE
TULSA, OK 74135-2601
Phone number: 918-747-6690
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Mailing Address
CARISSA ANN FOSTER
26409 E 136TH ST S
COWETA, OK 74429-5898
Phone number: 918-361-4776
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