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Individual

COURTNEY ANNE PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
2625 S CAMBRIDGE DR, STILLWATER, OK 74074-2246
(405) 880-3482
Mailing address
2625 S CAMBRIDGE DR, STILLWATER, OK 74074-2246
(405) 880-3482

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
657
OK

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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