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Individual

MRS. PATRICIA BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, RDLLD, CDE

Contact information

Practice address
9006 E 75TH ST, TULSA, OK 74133-3106
(918) 850-3665
Mailing address
9006 E 75TH ST, TULSA, OK 74133-3106
(918) 850-3665

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
661
OK
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
661
OK
133VN1006X
Metabolic Nutrition Registered Dietitian
661
OK

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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