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1043732787
LANDRE TATUM OGLESBY
EDMOND, OK
NPI
1043732787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000029828)
Enumeration Date
2017-07-14
Last Update Date
2018-03-17
Business Address
LANDRE TATUM OGLESBY ATC
100 N UNIVERSITY DR # 190
EDMOND, OK 73034-5207
Phone number: 405-974-2188
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Mailing Address
LANDRE TATUM OGLESBY ATC
13616 RED BUD RD
CHOCTAW, OK 73020-7166
Phone number: 405-250-0550
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