Individual
KAYLEIGH MICHELLE MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3840 S 103RD EAST AVE, #234, TULSA, OK 74146-2438
(918) 660-0576
Mailing address
8818 S 70TH EAST AVE, TULSA, OK 74133-5059
(918) 691-6975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15489
OK
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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