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Individual

WHITNEY RENEE PADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.T.C.

Contact information

Practice address
3200 E SHAWNEE RD, MUSKOGEE, OK 74403-1861
(918) 684-3700
Mailing address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
715
OK

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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