Individual
DEBRA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
132 W TAFT ST, SAPULPA, OK 74066-5433
(918) 224-3600
(918) 224-3902
Mailing address
132 W TAFT ST, SAPULPA, OK 74066-5433
(918) 224-3600
(918) 224-3902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11449
OK
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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