MARY JEANETTE COLLINS

FAYETTE, MO
NPI1124396288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2010019646)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
-- MARY JEANETTE COLLINS ATC, LATC
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248-1104
Phone number: 660-248-6289
Mailing Address
-- MARY JEANETTE COLLINS ATC, LATC
614 S MAIN ST
BROOKFIELD, MO 64628-2341
Phone number: 660-734-2083
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