Individual
DEBORAH JEAN SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 W GORE, LAWTON, OK 73505-6342
(580) 250-5850
Mailing address
P.O. BOX 485, CACHE, OK 73527-0485
(580) 351-8626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11195
OK
Other
Enumeration date
02/23/2007
Last updated
05/25/2023
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