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Individual

JALAL GHAFIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RD,LD

Contact information

Practice address
1 S BROADWAY STE 303, EDMOND, OK 73034-3706
(405) 696-6917
Mailing address
20 E BLANCH AVE, EDMOND, OK 73034-3633

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2265
OK

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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