Individual
AUSTIN DELAPORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.SC., LAT, ATC
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2188
Mailing address
300 S RANKIN ST, 55, EDMOND, OK 73034-5346
(405) 850-1473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
903
OK
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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