LARISSA M HANCOCK

TAHLEQUAH, OK
NPI1790024800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1905)
Enumeration Date2013-02-08
Last Update Date2016-04-12
Business Address
-- LARISSA M HANCOCK RD/LD
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-772-4702
Mailing Address
-- LARISSA M HANCOCK RD/LD
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-772-4702
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