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Individual

MR. JAMES DUDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C. LICENSED

Contact information

Practice address
1405 N 4TH AVE, PMB 4166, DURANT, OK 74701-3330
(580) 745-3028
(580) 745-7493
Mailing address
94 EAGLE LOOP DRIVE, DURANT, OK 74701-0609
(580) 924-2124
(580) 745-7493

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
414
OK

Other

Enumeration date
06/12/2007
Last updated
07/08/2007
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