Individual
MELODY DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
Mailing address
1401 CLEVELAND ST, IDABEL, OK 74745-8005
(479) 234-6433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2370
OK
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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