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1326466582
TIMOTHY OLIVER HERLIHY
SAINT LOUIS, MO
NPI
1326466582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2011030846)
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- TIMOTHY OLIVER HERLIHY ATC, LAT
3026 LACLEDE AVE
SAINT LOUIS, MO 63103-2136
Phone number: 314-340-5988
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Mailing Address
-- TIMOTHY OLIVER HERLIHY ATC, LAT
11611 MISTY MOSS CT
SAINT LOUIS, MO 63146-4250
Phone number: 314-552-1224
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