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1326444829
MICHAEL BOWER
BELLEVILLE, IL
NPI
1326444829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096003762)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
MICHAEL BOWER ATC. LAT.
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6000
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Mailing Address
MICHAEL BOWER ATC. LAT.
591 HICKORY LN
CHARLESTON, IL 61920-4421
Phone number: 217-549-4133
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