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Individual

MR. WENDELL ALAN MOUNT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3550 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1553
(918) 331-1631
Mailing address
400 RACHEL LN, BARTLESVILLE, OK 74006-8059
(918) 333-8962
(918) 331-1631

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
243
OK

Other

Enumeration date
04/18/2006
Last updated
07/08/2007
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