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Individual

JOHN DELANO FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
7437 S OLYMPIA AVE, TULSA, OK 74132-1838
(918) 254-1598
Mailing address
11104 E 66TH ST, TULSA, OK 74133-2605
(918) 254-1598

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13183
OK

Other

Enumeration date
01/03/2014
Last updated
01/03/2014
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