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1568870970
JOHN EDWIN SUNDERLAND
EDMOND, OK
NPI
1568870970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK 501)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
JOHN EDWIN SUNDERLAND ATC
504 CONCORD LN
EDMOND, OK 73003-6127
Phone number: 405-514-1215
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Mailing Address
JOHN EDWIN SUNDERLAND ATC
504 CONCORD LN
EDMOND, OK 73003-6127
Phone number:
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