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1871048843
BEN ANDERSON
TULSA, OK
NPI
1871048843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 679)
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
-- BEN ANDERSON ATC
800 S TUCKER DR
TULSA, OK 74104-9700
Phone number: 918-631-5258
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Mailing Address
-- BEN ANDERSON ATC
450 W 7TH ST #1802
TULSA, OK 74119-1051
Phone number: 918-508-1175
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