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1073505921
JAMES THOMAS PENKALSKI
SPRINGFIELD, MO
NPI
1073505921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 00159)
Enumeration Date
2005-08-17
Last Update Date
2010-03-23
Business Address
Mr. JAMES THOMAS PENKALSKI ATC
901 S NATIONAL AVE FORSYTHE ATHLETIC CENTER, RM 109
SPRINGFIELD, MO 65804-0027
Phone number: 417-836-5461
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Mailing Address
Mr. JAMES THOMAS PENKALSKI ATC
901 S NATIONAL AVE FORSYTHE ATHLETIC CENTER, RM 109
SPRINGFIELD, MO 65804-0027
Phone number: 417-836-5461
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