Individual
KASI E DENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S WILSON, VINITA, OK 74301
(918) 256-6459
(918) 256-2029
Mailing address
1533 KING DR APT 1023, BARTLESVILLE, OK 74006
(918) 521-9382
(918) 256-2029
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T9134
OK
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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