Organization
TATOOED COACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TAYLOR (COACH)
(405) 299-5797
Entity
Organization
Contact information
Practice address
702 N GRAND ST, ENID, OK 73701-3221
(405) 299-5797
Mailing address
702 N GRAND ST, ENID, OK 73701-3221
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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