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1619731213
JAISA THOMAS
OKLAHOMA CITY, OK
NPI
1619731213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 2935)
Enumeration Date
2024-02-13
Last Update Date
2024-07-19
Business Address
JAISA THOMAS RD, LD
7 NE 6TH ST STE 100
OKLAHOMA CITY, OK 73104-1801
Phone number: 405-445-8977
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Mailing Address
JAISA THOMAS RD, LD
3104 GRASSHOPPER WAY
YUKON, OK 73099-0458
Phone number: 405-445-8977
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