GEORGIA M. BANTHER

DURANT, OK
NPI1487760633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  725372)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: OK  733)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- GEORGIA M. BANTHER RD/LD
1610 W UNIVERSITY BLVD
DURANT, OK 74701-3045
Phone number: 580-924-3400
Mailing Address
-- GEORGIA M. BANTHER RD/LD
1610 UNIVERSITY BLVD
DURANT, OK 74701
Phone number: 580-924-3400
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