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1003225863
JESSE CHAVEZ
OKLAHOMA CITY, OK
NPI
1003225863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 722)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- JESSE CHAVEZ ATC, LAT
2501 N BLACKWELDER AVE
OKLAHOMA CITY, OK 73106-1402
Phone number: 405-208-6500
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Mailing Address
-- JESSE CHAVEZ ATC, LAT
2601 N KENTUCKY AVE APT 413
OKLAHOMA CITY, OK 73106-1282
Phone number:
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