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1215765672
DARIUS TREVON RICH
FAYETTE, MO
NPI
1215765672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2023049011)
Enumeration Date
2024-07-25
Last Update Date
2024-08-02
Business Address
DARIUS TREVON RICH MAT, LAT, ATC
411 CENTRAL METHODIST SQ STE 1
FAYETTE, MO 65248-1198
Phone number: 660-248-6251
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Mailing Address
DARIUS TREVON RICH MAT, LAT, ATC
3601 W BROADWAY APT 32101
COLUMBIA, MO 65203-7930
Phone number: 660-631-7677
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