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Individual

NICOLE MARIE BULMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
6161 S. YALE AVE, TULSA, OK 74136
(918) 494-2200
Mailing address
7622 E. 58TH PL., TULSA, OK 74145
(918) 406-0192

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2310
OK
133V00000X
Registered Dietitian
86100128
OK

Other

Enumeration date
08/09/2018
Last updated
02/28/2022
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