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1588646780
NATASHA LYNN TIBBETTS
SPRINGFIELD, MO
NPI
1588646780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2004017649)
Enumeration Date
2005-11-15
Last Update Date
2007-07-08
Business Address
Miss NATASHA LYNN TIBBETTS ATC
4331 S FREMONT AVE
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
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Mailing Address
Miss NATASHA LYNN TIBBETTS ATC
4331 S FREMONT AVE
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
Copy
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