Individual
CHANDRA M. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 683-1550
Mailing address
200 S ACADEMY RD, P.O. BOX 1017, GUTHRIE, OK 73044-8727
(405) 380-3062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
569
OK
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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