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Mallery Gannaway, AA
NPI 1306353685 · on the registry since 2018 · sole proprietor
Practice
- Address
- 12301 N Macarthur Blvd Apt 304
Oklahoma City, OK 73142 - Phone
- (405) 406-7112
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma