Individual
SAMUEL QUINN SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 JANET ST, TAHLEQUAH, OK 74464-7118
(918) 577-5780
Mailing address
710 JANET ST, TAHLEQUAH, OK 74464-7118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3174
OK
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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