Individual
DEDRA CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W MAIN ST, NORMAN, OK 73069-7062
(405) 573-5019
Mailing address
615 W MAIN ST, NORMAN, OK 73069-7062
(405) 573-5019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11464
OK
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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