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Individual

AUTUMN LEIGH MERILATT MS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN LD MS

Contact information

Practice address
5424 SE 81ST ST, OKLAHOMA CITY, OK 73135-6251
(405) 922-1928
Mailing address
5424 SE 81ST ST, OKLAHOMA CITY, OK 73135-6251
(405) 922-1928

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3133
OK

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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