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1578591004
JOHN R DONNELL
LEES SUMMIT, MO
NPI
1578591004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO TR00031)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Mr. JOHN R DONNELL ATC;LAT
514 SE GRANADA ST
LEES SUMMIT, MO 64063-8500
Phone number: 816-896-1117
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Mailing Address
Mr. JOHN R DONNELL ATC;LAT
514 SE GRANADA ST
LEES SUMMIT, MO 64063-8500
Phone number: 816-896-1117
Copy
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