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1487213831
ALEXIS MIKESELL
SPRINGFIELD, MO
NPI
1487213831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
ALEXIS MIKESELL
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-8553
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Mailing Address
ALEXIS MIKESELL
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-8553
Copy
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