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1528293586
JOLEEN WILSON
BROKEN ARROW, OK
NPI
1528293586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 1842)
Enumeration Date
2009-05-20
Last Update Date
2023-12-31
Business Address
JOLEEN WILSON RD/LD
6336 S 116TH EAST AVE
BROKEN ARROW, OK 74012-1251
Phone number: 918-280-8456
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Mailing Address
JOLEEN WILSON RD/LD
1701 S MAIN ST PMB 2735
BROKEN ARROW, OK 74013-9701
Phone number: 918-280-8456
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