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1629542337
CECILIA ANN LANE
STILLWATER, OK
NPI
1629542337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 989)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
Miss CECILIA ANN LANE ATC, LAT
170 ATHLETICS CENTER
STILLWATER, OK 74078-0001
Phone number: 316-648-8941
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Mailing Address
Miss CECILIA ANN LANE ATC, LAT
800 E HALL OF FAME AVE APT 1025
STILLWATER, OK 74075-6428
Phone number: 316-648-8941
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