Individual
MRS. ANGELA RENE DEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
3300 NW EXPRESSWAY ATTN: 100-5400, BUILDING D STE 120, OKC, OK 73112
(405) 949-6000
(405) 949-6093
Mailing address
3300 NW EXPRESSWAY ATTN: 100-5400, BUILDING D STE 120, OKC, OK 73112
(405) 949-6000
(405) 949-6093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1084
OK
Other
Enumeration date
10/12/2012
Last updated
03/07/2013
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