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1174900906
JASON LEWIS COX
MIDWEST CITY, OK
NPI
1174900906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 348)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
-- JASON LEWIS COX ATC
213 ELM ST
MIDWEST CITY, OK 73110-4801
Phone number: 405-739-1741
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Mailing Address
-- JASON LEWIS COX ATC
9610 SW 17TH ST
OKLAHOMA CITY, OK 73128-1045
Phone number: 405-503-8674
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