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1790303386
MARIAH ASHLEY FUGATE
EDMOND, OK
NPI
1790303386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
MARIAH ASHLEY FUGATE
100 N UNIVERSITY DR
EDMOND, OK 73034-5207
Phone number: 405-974-5239
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Mailing Address
MARIAH ASHLEY FUGATE
321 SE 6TH ST
MOORE, OK 73160-6714
Phone number: 405-821-0418
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