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1346638426
SHAE E ANDERSON
SPRINGFIELD, MO
NPI
1346638426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014012710)
Enumeration Date
2014-12-24
Last Update Date
2014-12-24
Business Address
-- SHAE E ANDERSON ATC
4331 S FREMONT AVE
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
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Mailing Address
-- SHAE E ANDERSON ATC
617 E GRAND ST APT 4
SPRINGFIELD, MO 65807-1655
Phone number: 618-210-3940
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