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Organization

YOUR NUTRITION TEAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN G. WOODS MS, RD/LD (OWNER/DIETITIAN)
(405) 550-7985
Entity
Organization

Contact information

Practice address
2056 WESTBURY DR, MIDWEST CITY, OK 73130-8209
(405) 550-7985
(405) 769-9247
Mailing address
2056 WESTBURY DR, MIDWEST CITY, OK 73130-8209

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713
OK

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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