CLAY DALTON THEBEAU

SAINT LOUIS, MO
NPI1154994036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2021022097)
Enumeration Date2021-07-20
Last Update Date2021-07-20
Business Address
CLAY DALTON THEBEAU ATC
1 COLLEGE PARK DR
SAINT LOUIS, MO 63141-8660
Phone number: 314-434-1115
Mailing Address
CLAY DALTON THEBEAU ATC
1 COLLEGE PARK DR
SAINT LOUIS, MO 63141-8660
Phone number: 314-434-1115
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