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Individual

JUDY CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4423 SOUTHWEST BLVD, TULSA, OK 74107-6472
(918) 446-3541
Mailing address
4600 ELMONT DR APT 3212, AUSTIN, TX 78741-1745

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19063
OK

Other

Enumeration date
03/30/2018
Last updated
12/11/2020
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