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1568400638
JILL GREEN PEDERSEN
WARRENSBURG, MO
NPI
1568400638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2000173562)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
Mrs. JILL GREEN PEDERSEN ATC
407 E RUSSELL AVE BLDG. A, SUITE 4
WARRENSBURG, MO 64093-1242
Phone number: 660-429-4700
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Mailing Address
Mrs. JILL GREEN PEDERSEN ATC
304 KNOLL DR
WARRENSBURG, MO 64093-2002
Phone number: 660-747-8466
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