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1255865754
THOMAS DANNENBERG
SAINT CHARLES, MO
NPI
1255865754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014025141)
Enumeration Date
2017-04-12
Last Update Date
2023-06-15
Business Address
THOMAS DANNENBERG MAEd, LAT, ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 618-560-3298
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Mailing Address
THOMAS DANNENBERG MAEd, LAT, ATC
1015 CORPORATE SQUARE DR STE 220
SAINT LOUIS, MO 63132-2938
Phone number:
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