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Individual

MR. THOMAS BARTLEY ENBERG I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 E 81ST ST, TULSA, OK 74132-2818
(469) 766-8468
Mailing address
25345 E 87TH PL S, BROKEN ARROW, OK 74014-6192
(469) 766-8468

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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