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1073723615
GREGORY P KERSGIETER
OKLAHOMA CITY, OK
NPI
1073723615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK AT123)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- GREGORY P KERSGIETER ATC,LAT
2501 N. BLACKWELDER AVE.
OKLAHOMA CITY, OK 73106
Phone number: 405-208-5317
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Mailing Address
-- GREGORY P KERSGIETER ATC,LAT
1404 CARRICK COURT
EDMOND, OK 73034
Phone number: 405-208-5317
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