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1962531780
ROGER LYNN GIBSON
EUFAULA, OK
NPI
1962531780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 11331)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. ROGER LYNN GIBSON
401 S MAIN ST
EUFAULA, OK 74432-3251
Phone number: 918-469-2506
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Mailing Address
Mr. ROGER LYNN GIBSON
401 S MAIN ST
EUFAULA, OK 74432-3251
Phone number: 918-469-2506
Copy
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