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Individual

MRS. JENNIFER T WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD/LD

Contact information

Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4720
Mailing address
18609 E 46TH PL S, TULSA, OK 74134-5501
(918) 261-5870

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
686
OK

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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