Individual
MERCEDES PHEGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 E 5TH ST APT 1936, TULSA, OK 74104-3122
(859) 324-5527
Mailing address
2815 E 5TH ST APT 1936, TULSA, OK 74104-3122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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