ALEXA DECLUE

SPRINGFIELD, MO
NPI1275012601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2018-08-07
Last Update Date2018-08-07
Business Address
ALEXA DECLUE ATC
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
Mailing Address
ALEXA DECLUE ATC
1735 W BENNETT ST APT G103
SPRINGFIELD, MO 65807-7843
Phone number: 816-645-8342
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