Individual
REBECCA WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5051 S 129TH EAST AVE, TULSA, OK 74134-7004
(918) 582-9355
Mailing address
5051 S 129TH EAST AVE, TULSA, OK 74134-7004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
787
OK
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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