Individual
SHANNON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD,LD
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1168
(918) 331-1218
Mailing address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1168
(918) 331-1218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1006
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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