Individual
MS. DIANE M SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
106 CRAVEN CT, MANNFORD, OK 74044-3006
(918) 865-7867
Mailing address
106 CRAVEN CT, MANNFORD, OK 74044-3006
(918) 865-7867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
417
OK
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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