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Individual

MELISSA CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1530 HARDCASTLE BLVD, PURCELL, OK 73080-8237
(405) 527-6967
Mailing address
14416 HARLI LN, OKLAHOMA CITY, OK 73170-7291

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1619
OK

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
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