Individual
MS. DEBORAH LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
6420 MAPLE RIDGE LN, BLANCHARD, OK 73010-2905
(405) 387-3983
(405) 387-3983
Mailing address
6420 MAPLE RIDGE LN, BLANCHARD, OK 73010-2905
(405) 387-3983
(405) 387-3983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
711
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100653330
—
OK
Enumeration date
11/01/2006
Last updated
07/08/2007
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