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1982938346
PAULA DAUGHERTY GORHAM
OKLAHOMA CITY, OK
NPI
1982938346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK LD163)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
-- PAULA DAUGHERTY GORHAM LD
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120-8304
Phone number: 405-752-3640
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Mailing Address
-- PAULA DAUGHERTY GORHAM LD
18108 PROVIDENCE AVE
EDMOND, OK 73012-4142
Phone number:
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