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Individual

VALERIE E GROGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
7418 E 87TH ST, TULSA, OK 74133-4851
(918) 630-7258
Mailing address
7418 E 87TH ST, TULSA, OK 74133-4851
(918) 630-7258

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1852
OK

Other

Enumeration date
05/13/2022
Last updated
01/29/2024
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