COULTER LOUIS CLARK

SKIATOOK, OK
NPI1548647423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  673)
Enumeration Date2015-04-30
Last Update Date2016-03-21
Business Address
-- COULTER LOUIS CLARK MEd, ATC, LAT
355 S OSAGE ST
SKIATOOK, OK 74070-2015
Phone number: 918-396-5710
Mailing Address
-- COULTER LOUIS CLARK MEd, ATC, LAT
106 N BROADWAY ST STE C
SKIATOOK, OK 74070-1222
Phone number: 580-548-3283