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Individual

DR. JOHN BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
11650 E 86TH ST N, OWASSO, OK 74055-2531
(918) 272-9595
Mailing address
11650 E 86TH ST N, OWASSO, OK 74055-2531
(918) 272-9595

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10035
OK

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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