KATHLEEN MATIE DONICA

TULSA, OK
NPI1780858332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  AT100)
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
-- KATHLEEN MATIE DONICA A.T.,C.
6048 S SHERIDAN RD
TULSA, OK 74145-9212
Phone number: 918-591-3897
Mailing Address
-- KATHLEEN MATIE DONICA A.T.,C.
9815 S. 239TH E. AVE
BROKNE ARROW, OK 74014
Phone number: 918-637-3717
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