Individual
MISS DEBRA LYNNE HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
928 N YORK ST, STE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Mailing address
928 N YORK ST, STE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1696
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200511430A
—
OK
Enumeration date
10/22/2010
Last updated
11/18/2013
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