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Individual

MRS. DEBRA LEA WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPH.

Contact information

Practice address
8002 S SHERIDAN RD, TULSA, OK 74133-8945
(918) 492-4242
(918) 493-6452
Mailing address
4404 E 80TH PL, TULSA, OK 74136-8144
(918) 481-8702
(918) 493-6452

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12124
OK

Other

Enumeration date
02/24/2007
Last updated
07/08/2007
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