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1346558616
SHELBY LYNN DEDERICK
TULSA, OK
NPI
1346558616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 1533)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
Ms. SHELBY LYNN DEDERICK RD/LD
4304 E 52ND PL
TULSA, OK 74135-3915
Phone number: 785-554-2497
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Mailing Address
Ms. SHELBY LYNN DEDERICK RD/LD
4304 E 52ND PL
TULSA, OK 74135-3915
Phone number: 785-554-2497
Copy
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