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1588655120
ERIN LEE BOYDSTUN
SPRINGFIELD, MO
NPI
1588655120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2004018735)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Miss ERIN LEE BOYDSTUN ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-7990
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Mailing Address
Miss ERIN LEE BOYDSTUN ATC
1925 E WALNUT ST
SPRINGFIELD, MO 65802-2942
Phone number: 417-830-2403
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