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Individual

DR. BRUCE EDWARD PULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
17675 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5492
(918) 456-0671
Mailing address
301 SOUTH JP SPITES, SALLISAW, OK 74955-0489
(918) 456-0671

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14171
OK

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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