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1144343849
MARY NELL SOUTHARD
TALIHINA, OK
NPI
1144343849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 119)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
MS. MARY NELL SOUTHARD R.D.,L.D.
1 CHOCTAW WAY NUTRITION SERVICES
TALIHINA, OK 74571-2022
Phone number: 918-567-7000
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Mailing Address
MS. MARY NELL SOUTHARD R.D.,L.D.
HC 69 BOX 245
SNOW, OK 74567-9717
Phone number: 918-755-4364
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