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1275284937
CHARISMA DAVIS
LEAVENWORTH, KS
NPI
1275284937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
CHARISMA DAVIS
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6245
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Mailing Address
CHARISMA DAVIS
5721 CHESTNUT AVE
KANSAS CITY, MO 64130-3713
Phone number: 816-223-9102
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