CHRISTIE LEA COGGBURN

TAHLEQUAH, OK
NPI1861610503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: OK  LD982)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
Ms. CHRISTIE LEA COGGBURN RD, LD,CSR
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3178
Mailing Address
Ms. CHRISTIE LEA COGGBURN RD, LD,CSR
118 EUBANKS
TAHLEQUAH, OK 74464-8841
Phone number: 918-431-1515