JOHN EDWIN SUNDERLAND

EDMOND, OK
NPI1568870970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  501)
Enumeration Date2014-07-29
Last Update Date2014-07-29
Business Address
-- JOHN EDWIN SUNDERLAND ATC
504 CONCORD LN
EDMOND, OK 73003-6127
Phone number: 405-514-1215
Mailing Address
-- JOHN EDWIN SUNDERLAND ATC
504 CONCORD LN
EDMOND, OK 73003-6127
Phone number:
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