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1013201714
KELLY CHRISTINA HERMAN
SPRINGFIELD, MO
NPI
1013201714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2009020684)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
Mrs. KELLY CHRISTINA HERMAN ATC
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804-2227
Phone number: 417-820-5610
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Mailing Address
Mrs. KELLY CHRISTINA HERMAN ATC
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804-2227
Phone number: 417-820-5610
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