Individual
MRS. REBECCA LOUISE WHATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. TECH.
Contact information
Practice address
205 S PARK LN STE 110, ALTUS, OK 73521-5733
(580) 482-6464
(580) 480-3114
Mailing address
14042 N COUNTY ROAD 1880, MANGUM, OK 73554-3217
(580) 679-3734
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-2189
OK
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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