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Individual

MR. IAN ROBERT BITTLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
908 CRESTON WAY, NORMAN, OK 73071-4912
(405) 360-1345

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9495
OK

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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