Individual
MRS. SUNNYE LYNN MCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
14709 E 110TH CIR N, OWASSO, OK 74055-6116
(405) 397-8853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1508
OK
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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