Individual
DUSTY BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 S MISSION ST, SAPULPA, OK 74066-4633
(918) 224-3400
Mailing address
3 S MISSION ST, SAPULPA, OK 74066-4698
(918) 224-3400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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