Individual
MS. DAWN MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
701 W HOUSTON ST, BROKEN ARROW, OK 74012-3759
(918) 251-7924
(918) 259-8921
Mailing address
508 S 72ND ST, BROKEN ARROW, OK 74014-2751
(918) 706-2429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14296
OK
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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