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1801273388
REBEKAH JO GONZALES
TAHLEQUAH, OK
NPI
1801273388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 862)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
Mrs. REBEKAH JO GONZALES ATC, LAT
603 N GRAND AVE
TAHLEQUAH, OK 74464-2302
Phone number: 918-557-8232
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Mailing Address
Mrs. REBEKAH JO GONZALES ATC, LAT
1249 S 103RD EAST AVE
TULSA, OK 74128-4631
Phone number: 918-557-8232
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