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Individual

MRS. MARY SUE KLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD CDE

Contact information

Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 742-5676
(405) 742-5610
Mailing address
PO BOX 414, PERRY, OK 73077-0414
(580) 336-4157

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
845
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
845
DIETICIAN
OK
Enumeration date
09/21/2006
Last updated
05/02/2013
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