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Terri Smith, RD, LD

Dietitian, Registered in Edmond, OK. Individual provider (NPI-1).

NPI number1093290207
StatusActive
Last updated in NPPESOct 3, 2018

Details

NPI
1093290207
Entity type
Individual (NPI-1)
Name
Mrs. Terri Smith
Credential
RD, LD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2018
Last updated
Oct 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1289OKYes

Practice location

3003 Miramonte Circle
Edmond, OK 73003-7300

Phone 580-339-2537

Mailing address

3003 Miramonte Cir
Edmond, OK 73003-2257

Phone 580-339-2537

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