Individual
JACQUE ANN STEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
610 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 533-3612
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 223-5400
(580) 220-6185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
589
OK
Other
Enumeration date
07/22/2009
Last updated
02/11/2025
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