WESLEY GRAGG

TAHLEQUAH, OK
NPI1033532635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  559)
Enumeration Date2014-02-03
Last Update Date2014-02-03
Business Address
-- WESLEY GRAGG ATC/L
603 NORTH GRAND AVENUE
TAHLEQUAH, OK 74464
Phone number: 918-444-3970
Mailing Address
-- WESLEY GRAGG ATC/L
603 NORTH GRAND AVENUE
TAHLEQUAH, OK 74464
Phone number: 918-444-3970