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1477287837
BRETT WAYNE PURNELL
ALVA, OK
NPI
1477287837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 1260)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
BRETT WAYNE PURNELL LAT, ATC
709 OKLAHOMA BLVD
ALVA, OK 73717-2749
Phone number: 580-327-8627
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Mailing Address
BRETT WAYNE PURNELL LAT, ATC
1800 OKLAHOMA BLVD APT 10
ALVA, OK 73717-1744
Phone number: 316-708-9085
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