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1629420567
AUSTIN DELAPORTE
EDMOND, OK
NPI
1629420567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 903)
Enumeration Date
2016-07-04
Last Update Date
2016-07-04
Business Address
-- AUSTIN DELAPORTE B.Sc., LAT, ATC
100 N UNIVERSITY DR
EDMOND, OK 73034-5207
Phone number: 405-974-2188
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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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