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1962058503
KAYCIE NICOLE LANDIS
DURANT, OK
NPI
1962058503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
KAYCIE NICOLE LANDIS
425 W UNIVERSITY BLVD
DURANT, OK 74701-3347
Phone number: 580-745-2026
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Mailing Address
KAYCIE NICOLE LANDIS
425 W UNIVERSITY BLVD
DURANT, OK 74701-3347
Phone number: 580-745-2026
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