Individual
MILENA STASTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034
(405) 328-8052
Mailing address
1925 N BEARD AVE, SHAWNEE, OK 74804-3609
(405) 328-8052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/27/2023
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