Individual
RUTH LYNNETTE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15405 N 186TH, HUNTER, OK 74640-0652
(580) 684-7869
Mailing address
15405 N 186TH, HUNTER, OK 74640-0652
(580) 684-7869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-86
DIETITIANS LICENSE
OK
Enumeration date
02/01/2019
Last updated
02/01/2019
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