Individual
MARY PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD-LD, CDE
Contact information
Practice address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 756-9911
(918) 756-9910
Mailing address
1721 E ELM LN, OKMULGEE, OK 74447-6421
(918) 756-3636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD586
OK
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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