DAKE R WALDEN

EARTH CITY, MO
NPI1124155890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  110382)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Mr. DAKE R WALDEN ATC
1 RAMS WAY
EARTH CITY, MO 63045-1523
Phone number: 314-516-8735
Mailing Address
Mr. DAKE R WALDEN ATC
1 RAMS WAY
EARTH CITY, MO 63045-1523
Phone number: 314-516-8735
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