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1477582617
BETTY GAIL TILLEMAN
SPRINGFIELD, MO
NPI
1477582617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 00061)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
Ms. BETTY GAIL TILLEMAN ATC, LAT
1111 N GLENSTONE AVE
SPRINGFIELD, MO 65802-2125
Phone number: 417-865-2815
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Mailing Address
Ms. BETTY GAIL TILLEMAN ATC, LAT
741 S GRANDVIEW AVE
SPRINGFIELD, MO 65802-3013
Phone number: 417-864-7854
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