Individual
DANA M PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1405 N 4TH AVE, DURANT, OK 74701-3330
(580) 745-3204
Mailing address
3802 W UNIVERSITY BLVD APT 10107, DURANT, OK 74701-3052
(580) 775-3049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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