Individual
CANDACE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 NE 52ND ST, LAWTON, OK 73507-7371
(405) 659-5717
Mailing address
105 NE 52ND ST, LAWTON, OK 73507-7371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1747
OK
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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