Individual
GAIL HELEN AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 520-4278
Mailing address
PO BOX 667, CHOUTEAU, OK 74337-0667
(918) 520-4278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 1708
OK
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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