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1396480455
DURELL NYAEGA
KANSAS CITY, MO
NPI
1396480455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00629)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
DURELL NYAEGA ATC
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-4878
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Mailing Address
DURELL NYAEGA ATC
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number:
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