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1306360235
ALEXANDER THOMPSON
SAINT CHARLES, MO
NPI
1306360235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2012024872)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
ALEXANDER THOMPSON
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4684
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Mailing Address
ALEXANDER THOMPSON
127 TOWERGATE DR
LAKE ST LOUIS, MO 63367-4372
Phone number:
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