SHAWN IDELL

DURANT, OK
NPI1942654819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  509)
Enumeration Date2016-04-18
Last Update Date2016-04-18
Business Address
-- SHAWN IDELL RD, LD
1800 W UNIVERSITY BLVD
DURANT, OK 74701-3006
Phone number: 580-924-3080
Mailing Address
-- SHAWN IDELL RD, LD
1800 W UNIVERSITY BLVD
DURANT, OK 74701-3006
Phone number: 580-924-3080
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