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1205394491
MICHAEL ELLIOTT NEBEL
COLUMBIA, MO
NPI
1205394491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2021035008)
Enumeration Date
2019-03-06
Last Update Date
2024-06-01
Business Address
MICHAEL ELLIOTT NEBEL ATC, OTC
1100 VIRGINIA AVE
COLUMBIA, MO 65212-1022
Phone number: 573-882-2663
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Mailing Address
MICHAEL ELLIOTT NEBEL ATC, OTC
1100 VIRGINIA AVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-2663
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