JESSICA BERG

OWASSO, OK
NPI1770930208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  2119)
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
-- JESSICA BERG MS, RDN, LD
10105 N BRIDGEWATER CIR
OWASSO, OK 74055-7727
Phone number: 918-272-4207
Mailing Address
-- JESSICA BERG MS, RDN, LD
1617 S COLUMBIA PL
TULSA, OK 74104-5905
Phone number: 802-299-0138
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