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1619446747
TRENTON MICHAEL ROYSE
TULSA, OK
NPI
1619446747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: OK 1010)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
TRENTON MICHAEL ROYSE LAT, ATC, CES
7777 S LEWIS AVE
TULSA, OK 74171-0003
Phone number: 918-495-7745
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Mailing Address
TRENTON MICHAEL ROYSE LAT, ATC, CES
7821 E 97TH PL APT 12306
TULSA, OK 74133-6957
Phone number: 402-417-3326
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