VIRGINIA PORTER TRAMMELL

BROKEN ARROW, OK
NPI1477106300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  2426)
Enumeration Date2019-07-19
Last Update Date2019-07-19
Business Address
Miss VIRGINIA PORTER TRAMMELL RD/LD
4308 W EDGEWATER ST
BROKEN ARROW, OK 74012-9433
Phone number: 918-645-3353
Mailing Address
Miss VIRGINIA PORTER TRAMMELL RD/LD
4308 W EDGEWATER ST
BROKEN ARROW, OK 74012-9433
Phone number: 918-645-3353
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