Individual
CINDY CRASE-STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 E. FOSTER DR., ADA, OK 74820
(580) 332-2109
Mailing address
2201 E. FOSTER DR., ADA, OK 74820
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
395
OK
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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