TRAVIS KYLE LONG

OKLAHOMA CITY, OK
NPI1235421256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  608)
Enumeration Date2011-05-10
Last Update Date2011-05-10
Business Address
-- TRAVIS KYLE LONG ATC
4901 W RENO AVE STE 500
OKLAHOMA CITY, OK 73127-6346
Phone number: 405-230-9290
Mailing Address
-- TRAVIS KYLE LONG ATC
1110 N LEE AVE
OKLAHOMA CITY, OK 73103-2612
Phone number: 405-230-9000
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