VIRGINIA AUSTIN

ADA, OK
NPI1245476936
Former NameVIRGINIA SUYDAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1583)
Enumeration Date2008-12-30
Last Update Date2018-05-02
Business Address
VIRGINIA AUSTIN RD/LD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Mailing Address
VIRGINIA AUSTIN RD/LD
1438 HARDCASTLE BLVD
PURCELL, OK 73080-8233
Phone number: 405-527-4700
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