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Organization
PERSONALIZED LIFESTYLE NUTRITION, LLC
Active
Organization
PERSONALIZED LIFESTYLE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA KEYS WINSTON (CREDENTIALING SPECIALIST)
(281) 790-0188
Entity
Organization
Contact information
Practice address
1125 N PORTER AVE STE 305, NORMAN, OK 73071-6446
(405) 245-9475
Mailing address
4232 HACKNEY WICK RD, NORMAN, OK 73072-9790
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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