Individual
JOSEPH JOHN FIDELIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
800 GARRISON LN, YUKON, OK 73099-6784
(405) 265-0426
(405) 265-3715
Mailing address
800 GARRISON LN, YUKON, OK 73099-6784
(405) 265-0426
(405) 265-3715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
470
OK
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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