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1245878453
IRIS JAQUEZ
OKLAHOMA CITY, OK
NPI
1245878453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 1985)
Enumeration Date
2019-12-18
Last Update Date
2019-12-18
Business Address
IRIS JAQUEZ RD, LD
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-8001
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Mailing Address
IRIS JAQUEZ RD, LD
505 E SHERIDAN AVE APT 2438
OKLAHOMA CITY, OK 73104-6740
Phone number: 580-528-1818
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