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Individual

DR. CHARLES KANJIRAKATTU MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
7305 SE 29TH ST, MIDWEST CITY, OK 73110-6122
(405) 455-4001
Mailing address
12800 TWIN PINES LN, CHOCTAW, OK 73020-7638
(405) 249-7413

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16179
OK

Other

Enumeration date
08/15/2015
Last updated
08/15/2015
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