Individual
HAILEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-5239
Mailing address
306 NOBLE ST, POTEAU, OK 74953-2840
(918) 839-3171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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