Individual
EMYLEE RENEE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 S BOULDER AVE, TULSA, OK 74119-2842
(918) 631-2619
Mailing address
428 S DELAWARE AVE APT 1712, TULSA, OK 74104-2470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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