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Individual

APRIL DIRTEATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
1449 N DOUGLAS AVE, TAHLEQUAH, OK 74464-5059
(918) 720-5806
Mailing address
1449 N DOUGLAS AVE, TAHLEQUAH, OK 74464-5059
(918) 207-5087

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86210072
OK

Other

Enumeration date
05/12/2021
Last updated
06/24/2025
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