TRAVIS LEE SCOTT

TAHLEQUAH, OK
NPI1932292588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1110)
Enumeration Date2006-10-02
Last Update Date2007-07-09
Business Address
Mr. TRAVIS LEE SCOTT R.D.
100 SOUTH BLISS AVE.
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
Mr. TRAVIS LEE SCOTT R.D.
100 SOUTH BLISS AVE.
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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