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Individual

PATRICIA A ANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD CDE

Contact information

Practice address
509 E HIGHWAY 33, PERKINS, OK 74059-4129
(405) 547-2473
(405) 547-2925
Mailing address
PO BOX 460, PERKINS, OK 74059-0460
(405) 547-2473
(405) 547-2925

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
673
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100730380A
OK
Enumeration date
09/21/2011
Last updated
09/21/2011
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