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1548647423
COULTER LOUIS CLARK
SKIATOOK, OK
NPI
1548647423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 673)
Enumeration Date
2015-04-30
Last Update Date
2016-03-21
Business Address
-- COULTER LOUIS CLARK MEd, ATC, LAT
355 S OSAGE ST
SKIATOOK, OK 74070-2015
Phone number: 918-396-5710
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Mailing Address
-- COULTER LOUIS CLARK MEd, ATC, LAT
106 N BROADWAY ST STE C
SKIATOOK, OK 74070-1222
Phone number: 580-548-3283
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