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Individual

ALICIA R EASLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
11815 E 86TH ST N, OWASSO, OK 74055-2536
(918) 272-3030
(918) 272-5353
Mailing address
11802 VALLEY AVE, COLLINSVILLE, OK 74021-6446
(918) 371-5456

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13448
OK

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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