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1710034699
EDITA C BALTASAR
YUKON, OK
NPI
1710034699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK LD 222)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Ms. EDITA C BALTASAR MPH, RD, LD
729 HAMLET CIR
YUKON, OK 73099-4401
Phone number: 405-826-2023
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Mailing Address
Ms. EDITA C BALTASAR MPH, RD, LD
PO BOX 850894
YUKON, OK 73085-0894
Phone number: 405-826-2023
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