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1497837645
DIANA LYNN WALLACE
TULSA, OK
NPI
1497837645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 587)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Ms. DIANA LYNN WALLACE R.D. L.D.
8086 S YALE AVE STE. 184
TULSA, OK 74136-9003
Phone number: 918-691-5768
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Mailing Address
Ms. DIANA LYNN WALLACE R.D. L.D.
8086 S YALE AVE STE. 184
TULSA, OK 74136-9003
Phone number: 918-691-5768
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