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Individual

JUSTIN RYAN LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(405) 818-0486
Mailing address
14217 SW 74TH ST, MUSTANG, OK 73064-9595
(405) 818-0486

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17539
OK

Other

Enumeration date
08/18/2017
Last updated
08/18/2017
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