Individual
MRS. RAINEE LYNE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5937 NW 59TH CT, OKLAHOMA CITY, OK 73122-7114
(405) 834-0580
Mailing address
5937 NW 59TH CT, OKLAHOMA CITY, OK 73122-7114
(405) 834-0580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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