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Individual

SUZANNE E GAULDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LD/RD

Contact information

Practice address
12906 E 106TH ST N, OWASSO, OK 74055-5909
(918) 698-0965
Mailing address
12906 E 106TH ST N, OWASSO, OK 74055-5909
(918) 698-0965

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
764
OK

Other

Enumeration date
03/12/2012
Last updated
11/04/2024
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