Individual
DEBRA A DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1017 W 120TH CT S, JENKS, OK 74037-2853
(918) 298-3708
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 286-5369
(918) 286-5243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9506
OK
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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