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1093924516
FAITH ALEXIS BOONE
SAINT LOUIS, MO
NPI
1093924516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 102161)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- FAITH ALEXIS BOONE ATC
4401 BEGG BLVD
SAINT LOUIS, MO 63121-3108
Phone number: 314-383-6733
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Mailing Address
-- FAITH ALEXIS BOONE ATC
4401 BEGG BLVD
SAINT LOUIS, MO 63121-3108
Phone number:
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