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Individual

MS. SHARON A. IVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
309 N 14TH ST, DIABETES PROGRAM, OKEMAH, OK 74859-2028
(918) 623-1424
(918) 623-3013
Mailing address
309 N 14TH ST, DIABETES PROGRAM, OKEMAH, OK 74859-2028
(918) 623-1424
(918) 623-3013

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1334
OK

Other

Enumeration date
08/10/2007
Last updated
08/10/2007
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