Individual
MARLA SERENE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 E MAIN ST, STIGLER, OK 74462-2830
(918) 967-3369
(918) 967-4461
Mailing address
40019 S COUNTY ROAD, STIGLER, OK 74462
(918) 916-2143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11755
OK
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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