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1174860944
BLAISE D. KRILEY
SAINT JOSEPH, MO
NPI
1174860944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2013013299)
Enumeration Date
2013-01-13
Last Update Date
2013-09-30
Business Address
Mr. BLAISE D. KRILEY MS, ATC
4525 DOWNS DR
SAINT JOSEPH, MO 64507-2246
Phone number: 816-271-4597
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Mailing Address
Mr. BLAISE D. KRILEY MS, ATC
4525 DOWNS DR
SAINT JOSEPH, MO 64507-2246
Phone number: 816-271-4597
Copy
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