AUSTIN DELAPORTE

EDMOND, OK
NPI1629420567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  903)
Enumeration Date2016-07-04
Last Update Date2016-07-04
Business Address
-- AUSTIN DELAPORTE B.Sc., LAT, ATC
100 N UNIVERSITY DR
EDMOND, OK 73034-5207
Phone number: 405-974-2188
Mailing Address
-- AUSTIN DELAPORTE B.Sc., LAT, ATC
300 S RANKIN ST 55
EDMOND, OK 73034-5346
Phone number: 405-850-1473
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