PHILLIP TUCKER

OKLAHOMA CITY, OK
NPI1730553512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  695)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- PHILLIP TUCKER ATC, LAT
12613 S WESTERN AVE
OKLAHOMA CITY, OK 73170-6903
Phone number: 405-735-4800
Mailing Address
-- PHILLIP TUCKER ATC, LAT
2609 SE 7TH ST
MOORE, OK 73160-6776
Phone number: 580-214-0782
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