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Individual

MRS. SUSAN LOUISE MCCLUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.PH., C.PED

Contact information

Practice address
12 NW SHERIDAN RD, LAWTON, OK 73505-6304
(580) 248-7360
(580) 248-7589
Mailing address
12 NW SHERIDAN RD, LAWTON, OK 73505-6304
(580) 248-7360
(580) 248-7589

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10863
OK

Other

Enumeration date
06/14/2006
Last updated
02/12/2008
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