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Individual

REBECCA MATURINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6310 S ELM PL, BROKEN ARROW, OK 74011-4100
(918) 455-4386
Mailing address
9916 S 72ND EAST AVE, TULSA, OK 74133-6001
(417) 529-0893

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16958
OK

Other

Enumeration date
11/15/2020
Last updated
11/15/2020
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