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1144201369
MITCHELL DEAN HAUSCHILDT
SPRINGFIELD, MO
NPI
1144201369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2002007678)
Enumeration Date
2005-11-07
Last Update Date
2007-08-14
Business Address
MR. MITCHELL DEAN HAUSCHILDT MA, ATC, CSCS
4331 S FREMONT AVE HEALTHTRACKS SPORTS TRAINING CENTER
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
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Mailing Address
MR. MITCHELL DEAN HAUSCHILDT MA, ATC, CSCS
2308 LUNAR ST
REPUBLIC, MO 65738-1759
Phone number: 417-732-2843
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