Individual
MRS. KERRI LEIGH TIEDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E ROBINSON ST, NORMAN, OK 73071-6697
(405) 364-5020
(405) 364-5021
Mailing address
4308 KENSAL RISE PL, NORMAN, OK 73072-9654
(405) 620-0121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10951
OK
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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