Gerod Undron Hubbard JR., LAC, ATC

NPI #1609381961 in Durant, Oklahoma

Provider Information

NPI Number
1609381961
Entity Type
Individual
Name
Gerod Undron Hubbard JR., LAC, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAC, ATC
Enumeration Date
Dec 8, 2017
Last Updated
Dec 8, 2017

Practice Location

Address
425 W UNIVERSITY BLVD
City
Durant
ZIP Code
74701-3347
Phone
(580) 745-3214

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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