MANUEL DAVID PENA ROSALES

ADA, OK
NPI1801256698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  881)
Enumeration Date2016-03-07
Last Update Date2016-03-07
Business Address
-- MANUEL DAVID PENA ROSALES ATC, LAT
1100 E 14TH ST PMB 4503
ADA, OK 74820-6915
Phone number: 580-279-4655
Mailing Address
-- MANUEL DAVID PENA ROSALES ATC, LAT
1100 E 14TH ST PMB 4503
ADA, OK 74820-6915
Phone number: 580-279-4655
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