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1992274898
JESSICA VANDYK
TULSA, OK
NPI
1992274898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 1000)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
JESSICA VANDYK LAT, ATC
7777 S LEWIS AVE
TULSA, OK 74171-0001
Phone number: 605-212-8627
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Mailing Address
JESSICA VANDYK LAT, ATC
7777 S LEWIS AVE
TULSA, OK 74136-7741
Phone number: 605-212-8627
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