Individual
MR. WAYNE PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1316 NW SHERIDAN RD, LAWTON, OK 73505-5212
(580) 730-0357
Mailing address
1316 NW SHERIDAN RD, LAWTON, OK 73505-5212
(580) 730-0357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH200064
LA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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