Individual
BRADLEY ALAN DUPLANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., ATC
Contact information
Practice address
101 N MCCRACKEN ST, CHOUTEAU, OK 74337-3219
(918) 476-8334
Mailing address
605 SE 17TH ST APT B, PRYOR, OK 74361-8152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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