Individual
VIRGINIA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1438 HARDCASTLE BLVD, PURCELL, OK 73080-8233
(405) 527-4700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1583
OK
Other
Enumeration date
12/30/2008
Last updated
05/02/2018
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