JIM RAYNOR

SPRINGFIELD, MO
NPI1073504783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  109104)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
Mr. JIM RAYNOR ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-7990
Mailing Address
Mr. JIM RAYNOR ATC
5329 S FERGUSON AVE
SPRINGFIELD, MO 65810-2597
Phone number: 417-881-6191
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