Individual
MRS. SUMMER MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1220 E GRAND AVE, TONKAWA, OK 74653-4022
(580) 542-1521
(580) 626-6472
Mailing address
1220 E GRAND AVE, TONKAWA, OK 74653-4022
(580) 542-1521
(580) 626-6472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
808
OK
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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