KALEN JERRELL DAVIS

SPRINGFIELD, MO
NPI1447734876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2018033678)
Enumeration Date2018-09-21
Last Update Date2018-09-21
Business Address
KALEN JERRELL DAVIS LAT, ATC
1640 E GRAND ST
SPRINGFIELD, MO 65804-0213
Phone number: 573-337-0110
Mailing Address
KALEN JERRELL DAVIS LAT, ATC
1640 E GRAND ST
SPRINGFIELD, MO 65804-0213
Phone number: 573-337-0110
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