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1295207371
MARY BLOCHBERGER
JEFFERSON CITY, MO
NPI
1295207371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
MARY BLOCHBERGER MEd, ATC, LAT
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109-2444
Phone number: 573-632-5614
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Mailing Address
MARY BLOCHBERGER MEd, ATC, LAT
12813 BRUSH CREEK RD
RUSSELLVILLE, MO 65074-2742
Phone number: 573-338-2333
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