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Individual

DR. JOHN WILLIAMS MUILENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7111 S LEWIS AVE, TULSA, OK 74136-5402
(918) 481-0666
(918) 481-1296
Mailing address
3204 WEST FREEPORT STREET, BROKEN ARROW, OK 74012
(918) 906-0454

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13863
OK

Other

Enumeration date
12/12/2011
Last updated
12/12/2011
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