Individual
KARLA MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 LAWSON LN, OKLAHOMA CITY, OK 73132-4937
(405) 722-1022
Mailing address
5709 LAWSON LN, OKLAHOMA CITY, OK 73132-4937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10683
OK
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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