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1730378506
LISETTE A COSTON
TULSA, OK
NPI
1730378506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK LD810)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
Mrs. LISETTE A COSTON RD, LD, MBA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-7208
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Mailing Address
Mrs. LISETTE A COSTON RD, LD, MBA
10132 S HUDSON AVE
TULSA, OK 74137-6008
Phone number: 918-298-6307
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