Individual
MS. JULIE ANN MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
31413 HIGHWAY 9, TECUMSEH, OK 74873-5523
(405) 205-0935
Mailing address
31413 HIGHWAY 9, TECUMSEH, OK 74873-5523
(405) 307-1697
(405) 307-2124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD693
OK
Other
Enumeration date
03/26/2007
Last updated
04/23/2024
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