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1194719195
PAUL DENNIS PUTT
SPRINGFIELD, MO
NPI
1194719195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 109936)
Enumeration Date
2005-09-06
Last Update Date
2007-07-08
Business Address
-- PAUL DENNIS PUTT A.T., C.
1317 E REPUBLIC RD
SPRINGFIELD, MO 65804-7204
Phone number: 417-889-4411
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Mailing Address
-- PAUL DENNIS PUTT A.T., C.
1317 E REPUBLIC RD
SPRINGFIELD, MO 65804-7204
Phone number: 417-889-4411
Copy
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