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1396345203
COURTNEY AILEEN DETRINGO
COLUMBIA, MO
NPI
1396345203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-10-29
Last Update Date
2022-02-23
Business Address
COURTNEY AILEEN DETRINGO MAT, LAT, ATC
107 S PROVIDENCE RD
COLUMBIA, MO 65203-4263
Phone number: 573-507-8342
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Mailing Address
COURTNEY AILEEN DETRINGO MAT, LAT, ATC
107 S PROVIDENCE RD
COLUMBIA, MO 65203-4263
Phone number: 813-909-3178
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