Individual
MRS. ELIZABETH S SQUIRES STAPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(801) 891-5091
Mailing address
1203 REBECCA LN #218, NORMAN, OK 73072
(801) 891-5091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1616
OK
Other
Enumeration date
11/04/2008
Last updated
12/01/2008
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