Individual
MRS. PAMELA SUE BRUMMIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
4418 MONTICELLO PL, ENID, OK 73703-1353
(918) 645-5775
(580) 242-4412
Mailing address
4418 MONTICELLO PL, ENID, OK 73703-1353
(918) 645-5775
(580) 242-4412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
478
OK
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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