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1780858332
KATHLEEN MATIE DONICA
TULSA, OK
NPI
1780858332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK AT100)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
-- KATHLEEN MATIE DONICA A.T.,C.
6048 S SHERIDAN RD
TULSA, OK 74145-9212
Phone number: 918-591-3897
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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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