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1497713127
VINCENT LEE BEAM
WEST PLAINS, MO
NPI
1497713127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 107041)
Enumeration Date
2006-05-02
Last Update Date
2007-07-08
Business Address
-- VINCENT LEE BEAM A.T.,C.
1480 W 8TH ST
WEST PLAINS, MO 65775-2010
Phone number: 417-256-5669
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Mailing Address
-- VINCENT LEE BEAM A.T.,C.
1480 W 8TH ST
WEST PLAINS, MO 65775-2010
Phone number: 417-256-5669
Copy
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