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1417984386
DWIGHT ERIC MCDONNELL
COLUMBIA, MO
NPI
1417984386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO TR000049)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Mr. DWIGHT ERIC MCDONNELL ATC
ONE CHAMPIONS DRIVE STE. 100
COLUMBIA, MO 65211-0001
Phone number: 573-882-2375
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Mailing Address
Mr. DWIGHT ERIC MCDONNELL ATC
3100 GREENBRIAR DR
COLUMBIA, MO 65203-3611
Phone number: 573-449-6843
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