JEREMY LANCE EDGERSON

LEES SUMMIT, MO
NPI1396382024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2019005566)
Enumeration Date2019-12-02
Last Update Date2019-12-02
Business Address
Mr. JEREMY LANCE EDGERSON ATC, CCMA
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086-6011
Phone number: 816-246-4302
Mailing Address
Mr. JEREMY LANCE EDGERSON ATC, CCMA
10812 FREMONT AVE
KANSAS CITY, MO 64134-2502
Phone number: 816-520-9965
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