Individual
MRS. STEPHENIE DAWN RODRIGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1301 E DOWNING ST, TAHLEQUAH, OK 74464-3350
(918) 456-2233
Mailing address
323 PHOENIX AVE, LOT # 27, TAHLEQUAH, OK 74464-3460
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-5636
OK
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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