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1104925619
MARSHA ANN BASNER
TULSA, OK
NPI
1104925619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist Nutrition, Education
(Licence: OK LD419)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
MS. MARSHA ANN BASNER R.D.
3324 E 30TH PL N
TULSA, OK 74115-2421
Phone number: 918-835-8509
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Mailing Address
MS. MARSHA ANN BASNER R.D.
3324 E 30TH PL N
TULSA, OK 74115-2421
Phone number: 918-835-8509
Copy
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