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1457326118
ANTHONY JOSEPH LUNGSTRUM
COLUMBIA, MO
NPI
1457326118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 20070016900)
Enumeration Date
2006-02-17
Last Update Date
2023-06-07
Business Address
Mr. ANTHONY JOSEPH LUNGSTRUM ATC, LAT, OTC
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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Mailing Address
Mr. ANTHONY JOSEPH LUNGSTRUM ATC, LAT, OTC
711 DOWNING CT
FULTON, MO 65251-7711
Phone number: 573-884-2071
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