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1689031270
HEATH PRATT
MOORE, OK
NPI
1689031270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 641)
Enumeration Date
2016-01-27
Last Update Date
2016-07-13
Business Address
Mr. HEATH PRATT CSCS
3801 BRODY DR
MOORE, OK 73160-7564
Phone number: 405-863-3083
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Mailing Address
Mr. HEATH PRATT CSCS
3801 BRODY DR
MOORE, OK 73160-7564
Phone number:
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