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Emylee Renee Duran

Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).

NPI number1760102867
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1760102867
Entity type
Individual (NPI-1)
Name
Emylee Renee Duran
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2022
Certification date
Aug 24, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1215 S Boulder Ave
Tulsa, OK 74119-2842

Phone 918-631-2619

Mailing address

428 S Delaware Ave Apt 1712
Tulsa, OK 74104-2470

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