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1639391584
JASON R MILLER
STILLWATER, OK
NPI
1639391584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 483)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- JASON R MILLER ATC
OKLAHOMA STATE UNIVERSITY ATHLETICS CENTER
STILLWATER, OK 74078
Phone number: 405-744-6741
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Mailing Address
-- JASON R MILLER ATC
16 WINDSOR CIRCLE
STILLWATER, OK 74074
Phone number: 405-269-9575
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