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1689060683
BRENT WILSON
OKLAHOMA CITY, OK
NPI
1689060683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 2013)
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
-- BRENT WILSON RD/LD
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112-4418
Phone number: 405-949-6000
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Mailing Address
-- BRENT WILSON RD/LD
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112-4418
Phone number: 405-949-6000
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