Individual
NINA BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D L.D.
Contact information
Practice address
120 N BRYANT AVE, SUITE A9, EDMOND, OK 73034-6302
(405) 285-4762
(405) 285-4352
Mailing address
2130 RED ELM DR, EDMOND, OK 73013-5659
(405) 285-4762
(405) 285-4352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1063142
OK
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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