Individual
ANGELA KAY GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 742-5624
(405) 742-5697
Mailing address
801 W UTE AVE, STILLWATER, OK 74075-1213
(405) 742-5624
(405) 742-5697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1192
OK
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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