SAMUEL JAMES SISLEY

MUSKOGEE, OK
NPI1215102603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  L001797)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
Mr. SAMUEL JAMES SISLEY RD LDN
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-577-3735
Mailing Address
Mr. SAMUEL JAMES SISLEY RD LDN
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-577-3735
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