Individual
MRS. CHRISTINA BARON CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1800 S. RENAISSANCE BLVD., EDMOND, OK 73013
(405) 359-2471
Mailing address
8500 NW 114TH ST, OKLAHOMA CITY, OK 73162-2237
(405) 271-2365
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1437
OK
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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