Individual
CAGNEY AUSTIN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2727
Mailing address
1117 SEQUOYAH PL APT B, EDMOND, OK 73003-5217
(918) 344-1898
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AA775
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AA775
OK
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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