Individual
LIBBY K GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
928 N YORK ST, SUITE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Mailing address
928 N YORK ST, SUITE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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