Individual
LAUREN NICOLE BAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17599 S HIGHWAY 88, CLAREMORE, OK 74017-0801
(918) 915-1518
Mailing address
17599 S HIGHWAY 88, CLAREMORE, OK 74017-0801
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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