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Individual

ABIGAIL GRUENBAUM DODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1204 SW 22ND ST, MOORE, OK 73170-7484
(682) 777-1938
Mailing address
1204 SW 22ND ST, MOORE, OK 73170-7484
(682) 777-1938

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2864
OK

Other

Enumeration date
02/06/2026
Last updated
02/06/2026
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