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Individual

JORDIN MAPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2061 W LINDSEY ST APT E, NORMAN, OK 73069-4153
(580) 789-0433
Mailing address
2061 W LINDSEY ST APT E, NORMAN, OK 73069-4153

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
611
OK
390200000X
Student in an Organized Health Care Education/Training Program
611
OK

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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