TRACIE KENNON MATHIS

TULSA, OK
NPI1720267651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  LD932)
Enumeration Date2007-10-27
Last Update Date2022-01-26
Business Address
TRACIE KENNON MATHIS RD/LD IBCLC
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-230-6409
Mailing Address
TRACIE KENNON MATHIS RD/LD IBCLC
8710 S 71ST EAST AVE
TULSA, OK 74133-5053
Phone number: 918-494-6455
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