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1376054742
JAYSON DANIEL SHEPHERD
WARRENSBURG, MO
NPI
1376054742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 088245)
Enumeration Date
2017-10-12
Last Update Date
2023-05-10
Business Address
JAYSON DANIEL SHEPHERD MS, ATC, LAT
116 W SOUTH ST
WARRENSBURG, MO 64093-2324
Phone number: 660-543-4111
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Mailing Address
JAYSON DANIEL SHEPHERD MS, ATC, LAT
116 W SOUTH ST
WARRENSBURG, MO 64093-2324
Phone number: 660-543-4111
Copy
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