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Individual

DR. DAVID ALLEN WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
1500 E DOWNING ST, SUITE 106, TAHLEQUAH, OK 74464-3234
(918) 456-8811
(918) 456-1323
Mailing address
1500 E DOWNING ST, SUITE 106, TAHLEQUAH, OK 74464-3234
(918) 456-8811
(918) 456-1323

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14730
OK

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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