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Individual

CHERI S SON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
12802 E 96TH ST N, OWASSO, OK 74055-5371
(918) 272-7467
(918) 272-7910
Mailing address
16180 E 125TH ST N, COLLINSVILLE, OK 74021-4342
(918) 371-0405

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11898
OK

Other

Enumeration date
09/07/2011
Last updated
02/14/2012
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