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1629435458
DALAYNA DIANE FAIN
EDMOND, OK
NPI
1629435458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK 1005)
Enumeration Date
2016-01-25
Last Update Date
2020-04-30
Business Address
DALAYNA DIANE FAIN
14025 N EASTERN AVE APT 3116
EDMOND, OK 73013-5588
Phone number: 580-478-3027
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Mailing Address
DALAYNA DIANE FAIN
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 580-478-3027
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