MICHAEL GOEDECKE

TAHLEQUAH, OK
NPI1962818914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  957)
Enumeration Date2014-07-09
Last Update Date2017-04-11
Business Address
Mr. MICHAEL GOEDECKE MS ATC LAT
603 N GRAND AVE
TAHLEQUAH, OK 74464-2302
Phone number: 918-444-3921
Mailing Address
Mr. MICHAEL GOEDECKE MS ATC LAT
603 N GRAND AVE
TAHLEQUAH, OK 74464-2302
Phone number: 918-444-3921
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