Individual
MR. DILLON REID LONGBRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-5239
Mailing address
305 NE 6TH ST, PERKINS, OK 74059-3016
(405) 338-8938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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