Individual
CHELSEA CROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 WOLFE LN, ADA, OK 74820-2919
(918) 845-2020
Mailing address
1406 WOLFE LN, ADA, OK 74820-2919
(918) 845-2020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
787
OK
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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