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Individual

SAVANNA ANN BOJORQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
(405) 564-3408
Mailing address
152 GREENBRIAR CIR, MANNFORD, OK 74044-9602
(580) 938-0110

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BACB738516
OK

Other

Enumeration date
12/28/2021
Last updated
12/28/2021
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