Individual
MAI THI DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E TAFT AVE, SAPULPA, OK 74066-5729
(918) 227-7200
(918) 227-6109
Mailing address
950 E TAFT AVE, SAPULPA, OK 74066-5729
(918) 227-7200
(918) 227-6109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14613
OK
183500000X
Pharmacist
40622
TX
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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