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1346658747
JENICA MYREA PAULSEN
SPRINGFIELD, MO
NPI
1346658747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014022273)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
-- JENICA MYREA PAULSEN A.T.C.
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
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Mailing Address
-- JENICA MYREA PAULSEN A.T.C.
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
Copy
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