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Individual

JERRON LARTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 GARTH BROOKS BLVD, YUKON, OK 73099-6387
(405) 494-3180
Mailing address
2608 STANLEY STATION ST, YUKON, OK 73099-1079

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17978
OK

Other

Enumeration date
11/27/2020
Last updated
11/27/2020
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