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1316970510
OMAR HERNAN ZALDIVAR
TULSA, OK
NPI
1316970510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK 294)
Enumeration Date
2006-07-09
Last Update Date
2020-06-05
Business Address
OMAR HERNAN ZALDIVAR A.T.
6475 S YALE AVE STE. 301
TULSA, OK 74136-7816
Phone number: 918-494-9300
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Mailing Address
OMAR HERNAN ZALDIVAR A.T.
2488 E 81ST ST STE 290
TULSA, OK 74137-4265
Phone number: 918-494-9341
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