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Individual

DARRIUS JOHN MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACT

Contact information

Practice address
323 W EAGLE BLVD, GOODWELL, OK 73939-1500
(501) 438-2697
Mailing address
134 WADE, LONOKE, AR 72086-7813

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/30/2017
Last updated
02/05/2020
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