LISA NICOLE GROSS

KANSAS CITY, MO
NPI1043458532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00642)
Enumeration Date2009-01-22
Last Update Date2009-01-22
Business Address
Miss LISA NICOLE GROSS ATC
4410 PENNSYLVANIA AVE APT 4
KANSAS CITY, MO 64111-3323
Phone number: 785-766-5412
Mailing Address
Miss LISA NICOLE GROSS ATC
4410 PENNSYLVANIA AVE APT 4
KANSAS CITY, MO 64111-3323
Phone number: 785-766-5412
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