AMY HENDERSON

OWASSO, OK
NPI1821499153
Former NameAMY RUSKOSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1719)
Enumeration Date2014-09-05
Last Update Date2014-09-05
Business Address
Mrs. AMY HENDERSON RD, MS, LD
10306 N 138TH EAST AVE SUITE 204
OWASSO, OK 74055-4665
Phone number: 918-401-0006
Mailing Address
Mrs. AMY HENDERSON RD, MS, LD
5662 S 83RD EAST AVE
TULSA, OK 74145-7922
Phone number: 918-902-5611
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