BRENTAN LAESCH

TULSA, OK
NPI1235534652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1827)
Enumeration Date2014-10-28
Last Update Date2014-10-28
Business Address
-- BRENTAN LAESCH RD, LD.
115 W 3RD ST
TULSA, OK 74103-3410
Phone number: 918-585-3045
Mailing Address
-- BRENTAN LAESCH RD, LD.
115 W 3RD ST
TULSA, OK 74103-3410
Phone number: 918-585-3045
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