Individual
MEGAN BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
308 E STEED DR, MIDWEST CITY, OK 73110-5020
(405) 205-4686
Mailing address
308 E STEED DR, MIDWEST CITY, OK 73110-5020
(405) 205-4686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
821
OK
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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