MALLORY SHANNON

TULSA, OK
NPI1902403611
Former NameMALLORY STINSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  2529)
Enumeration Date2020-10-06
Last Update Date2021-06-11
Business Address
MALLORY SHANNON RD, LD
6565 S YALE AVE
TULSA, OK 74136-8327
Phone number: 918-491-3700
Mailing Address
MALLORY SHANNON RD, LD
PO BOX 707001
TULSA, OK 74170-7001
Phone number: 888-247-0125
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THE MOTHER ROAD DIETITIAN, LLC.