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Organization

WELL ROOTED HEALTH AND NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UMO CALLINS MS, RD/LD, CSSD, CPT (OWNER)
(405) 837-7003
Entity
Organization

Contact information

Practice address
16308 IRONSTONE PLACE, EDMOND, OK 73013
(405) 885-0270
(405) 300-4492
Mailing address
16308 IRONSTONE PLACE, EDMOND, OK 73013-9730
(405) 837-7003

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200398760A
OK
Enumeration date
08/28/2019
Last updated
08/31/2025
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