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1053779165
BENJAMIN KRUEGER
SAINT LOUIS, MO
NPI
1053779165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2012017447)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
Mr. BENJAMIN KRUEGER MS, ATC, LAT
101 N WARSON RD
SAINT LOUIS, MO 63124-1326
Phone number: 314-650-5888
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Mailing Address
Mr. BENJAMIN KRUEGER MS, ATC, LAT
101 N WARSON RD
SAINT LOUIS, MO 63124-1326
Phone number: 314-650-5888
Copy
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