Individual
MR. DOMINIQUE LAMAR PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4617 SW I AVE, LAWTON, OK 73505-7829
(580) 647-5597
Mailing address
4617 SW I AVE, LAWTON, OK 73505-7829
(580) 647-5597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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