Individual
MRS. NORMA J DEVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MBA, RD LD
Contact information
Practice address
1602 S HARVARD AVE, TULSA, OK 74112-6824
(918) 744-5181
(918) 744-0291
Mailing address
1602 S HARVARD AVE, TULSA, OK 74112-6824
(918) 744-5181
(918) 744-0291
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1400
OK
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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