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1952681660
SAMUEL NICHOLAS BASS
CHICKASHA, OK
NPI
1952681660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 14466)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
Dr. SAMUEL NICHOLAS BASS Pharm.D
2120 S 4TH ST
CHICKASHA, OK 73018-6810
Phone number: 405-222-0278
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Mailing Address
Dr. SAMUEL NICHOLAS BASS Pharm.D
2120 S 4TH ST
CHICKASHA, OK 73018-6810
Phone number: 405-222-0278
Copy
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