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1326350380
LANDON WADE KERSEY
MOORE, OK
NPI
1326350380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 496)
Enumeration Date
2010-07-07
Last Update Date
2010-07-07
Business Address
Mr. LANDON WADE KERSEY ATC, LAT
1105 RENITA WAY
MOORE, OK 73160-8710
Phone number: 405-819-1840
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Mailing Address
Mr. LANDON WADE KERSEY ATC, LAT
1105 RENITA WAY
MOORE, OK 73160-8710
Phone number:
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