Individual
SHIRLEY GAIL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
100 N 30TH ST, CLINTON, OK 73601-3117
(580) 323-8335
(580) 323-8369
Mailing address
2 S COVEY ST, SAYRE, OK 73662-3125
(580) 243-8552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9187
OK
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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