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Individual

RACHEL MICHELLE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
315 N 193RD EAST AVE, CATOOSA, OK 74015-2862
(918) 266-8837
Mailing address
4634 S MADISON PL, TULSA, OK 74105-4542
(918) 557-0102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19477
OK

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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