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1104480466
DUSTIN KING PARKER
JOPLIN, MO
NPI
1104480466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2007003908)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
DUSTIN KING PARKER ATC
3126 S JACKSON AVE STE 200
JOPLIN, MO 64804-2500
Phone number: 417-556-3802
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Mailing Address
DUSTIN KING PARKER ATC
3126 S JACKSON AVE STE 200
JOPLIN, MO 64804-2500
Phone number: 417-556-3802
Copy
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