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1477904431
ALICIA BERRY
TULSA, OK
NPI
1477904431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 841)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- ALICIA BERRY LAT, ATC
3905 S HUDSON AVE
TULSA, OK 74135-5607
Phone number: 918-627-3390
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Mailing Address
-- ALICIA BERRY LAT, ATC
218 S SHAWNEE ST
CATOOSA, OK 74015-2125
Phone number: 918-527-0415
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