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1780179085
TAYLOR JAYMES HENDERSON
SAPULPA, OK
NPI
1780179085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
TAYLOR JAYMES HENDERSON
3203 LAUREL OAKS RD
SAPULPA, OK 74066-1130
Phone number: 918-991-9258
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Mailing Address
TAYLOR JAYMES HENDERSON
3203 LAUREL OAKS RD
SAPULPA, OK 74066-1130
Phone number:
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