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Individual

STACY DAWN BUZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
2010 S BROADWAY, EDMOND, OK 73013-4019
(405) 503-2758
(405) 330-9921
Mailing address
2010 S BROADWAY, EDMOND, OK 73013-4019
(405) 503-2758
(405) 330-9921

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1530
OK

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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