MARLO WAGNER

TULSA, OK
NPI1518987486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  809909)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mrs. MARLO WAGNER RD,CDE
9322 E 41ST ST
TULSA, OK 74145-3721
Phone number: 918-764-7209
Mailing Address
Mrs. MARLO WAGNER RD,CDE
5442 E 109TH PL
TULSA, OK 74137-7247
Phone number: 918-296-3910
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