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Individual

EMMA ELIZABETH ROLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1100 E 14TH ST, ADA, OK 74820-6915
(580) 559-5432
Mailing address
512 E 7TH ST, ADA, OK 74820-5204
(405) 664-9121

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1037
OK

Other

Enumeration date
06/11/2018
Last updated
06/11/2018
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