JAMES KENNETH JEFFERSON

STILLWATER, OK
NPI1922658301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  1048)
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
JAMES KENNETH JEFFERSON LAT, ATC
200 ATHLETIC CENTER GALLAGHER IBA ARENA
STILLWATER, OK 74078-0001
Phone number: 910-538-7980
Mailing Address
JAMES KENNETH JEFFERSON LAT, ATC
315 S HESTER ST APT 319
STILLWATER, OK 74074-3415
Phone number: 910-538-7980
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