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1063471142
RANDY LEE BIGGERSTAFF
SAINT CHARLES, MO
NPI
1063471142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 00014)
Enumeration Date
2006-03-19
Last Update Date
2007-07-08
Business Address
MR. RANDY LEE BIGGERSTAFF ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4683
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Mailing Address
MR. RANDY LEE BIGGERSTAFF ATC
PO BOX 6 200 FORD STREET
GRAY SUMMIT, MO 63039-0006
Phone number: 636-742-2738
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