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1184117582
KYLE KINGREY
ADA, OK
NPI
1184117582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 1030)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
KYLE KINGREY ATC, LAT
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 580-559-5432
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Mailing Address
KYLE KINGREY ATC, LAT
512 E 7TH ST
ADA, OK 74820-5204
Phone number:
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