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1649646928
WILLIAM MCCULLOH
LANGSTON, OK
NPI
1649646928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK 616)
Enumeration Date
2015-08-20
Last Update Date
2015-08-20
Business Address
WILLIAM MCCULLOH MS, ATC, LAT
701 SAMMY DAVIS JR DR
LANGSTON, OK 73050-5002
Phone number: 405-466-2961
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Mailing Address
WILLIAM MCCULLOH MS, ATC, LAT
701 SAMMY DAVIS JR DR
LANGSTON, OK 73050-5002
Phone number: 405-466-2961
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