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1407234693
BRIAN LORANCE
ADA, OK
NPI
1407234693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 535)
Enumeration Date
2015-05-08
Last Update Date
2015-05-12
Business Address
Mr. BRIAN LORANCE ATC
1100 E. 14ST.
ADA, OK 74820
Phone number: 580-559-5315
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Mailing Address
Mr. BRIAN LORANCE ATC
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 580-559-5315
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