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1093087355
JENNIFER SOUTHARD
EDMOND, OK
NPI
1093087355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 1720)
Enumeration Date
2012-02-02
Last Update Date
2022-03-03
Business Address
Mrs. JENNIFER SOUTHARD MS, RD/LD
3120 S BOULEVARD STE 127
EDMOND, OK 73013-5308
Phone number: 405-960-3120
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Mailing Address
Mrs. JENNIFER SOUTHARD MS, RD/LD
3126 S BOULEVARD STE 127
EDMOND, OK 73013-5308
Phone number: 405-960-3120
Copy
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