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1164955662
TIMOTHY OSTERHOUDT
SAINT CHARLES, MO
NPI
1164955662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2015023369)
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
TIMOTHY OSTERHOUDT LAT, ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4816
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Mailing Address
TIMOTHY OSTERHOUDT LAT, ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number:
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