JOHNATHON DAVID MILLWEE

TULSA, OK
NPI1730685314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OK  803)
Enumeration Date2018-04-03
Last Update Date2019-02-26
Business Address
JOHNATHON DAVID MILLWEE ATC
4802 S 109TH EAST AVE
TULSA, OK 74146
Phone number: 580-302-1121
Mailing Address
JOHNATHON DAVID MILLWEE ATC
7841 S UNION AVE APT 2203
TULSA, OK 74132-2766
Phone number: 580-302-1121
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