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Individual

AMANDA DAWN GLASGOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
OKLAHOMA STATE UNIVERSITY, 189 COLVIN RECREATION CENTER, STILLWATER, OK 74078-0001
(405) 744-4346
Mailing address
1200 N PERKINS RD, APT. #L6, STILLWATER, OK 74075-7104

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
488
OK

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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