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Individual

DR. PATTY JANELLE POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
500 WILLIAMS ST, JACKS RX, MAYSVILLE, OK 73057-9547
(405) 867-4427
(405) 867-5267
Mailing address
RR 3, BOX 178, PAULS VALLEY, OK 73075-9803
(405) 238-3525

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11129
OK

Other

Enumeration date
09/20/2005
Last updated
07/08/2007
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