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Individual

SAVANNAH LYNN KAUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1215 S BOULDER AVE, TULSA, OK 74119-2842
(918) 631-2619
Mailing address
16800 W 151ST ST S, KELLYVILLE, OK 74039-6109
(918) 606-6828

Taxonomy

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

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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