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Individual

MRS. LISA DIANE BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.PH.

Contact information

Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6589
Mailing address
432 TIMBERCREST RD, CATOOSA, OK 74015-2314
(918) 855-7677

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10294
OK

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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