Individual
NICOLE P CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
12021 NW 136TH TER, PIEDMONT, OK 73078-8959
(405) 863-3622
Mailing address
12021 NW 136TH TER, PIEDMONT, OK 73078-8959
(405) 863-3622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1813
OK
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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