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1174805147
JESSICA RAE SHAW
OKLAHOMA CITY, OK
NPI
1174805147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: OK 1644)
Enumeration Date
2011-09-15
Last Update Date
2016-04-14
Business Address
-- JESSICA RAE SHAW MS, RD, LD
1000 N LINCOLN AVE SUTIE 2900
OKLAHOMA CITY, OK 73104
Phone number: 405-271-3652
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Mailing Address
-- JESSICA RAE SHAW MS, RD, LD
5701 N PORTLAND AVE STE 125
OKLAHOMA CITY, OK 73112-1670
Phone number: 405-604-4498
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