Individual
JIA TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 W GRANT AVE, PAULS VALLEY, OK 73075-9230
(405) 238-7525
Mailing address
4125 24TH AVE SE APT 7, NORMAN, OK 73071-0836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20228
OK
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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