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1588675904
CHRISTOPHER SCOTT GREEN
WEST PLAINS, MO
NPI
1588675904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 118541)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER SCOTT GREEN ATC/L
1480 8TH ST
WEST PLAINS, MO 65775-2010
Phone number: 417-256-5669
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Mailing Address
-- CHRISTOPHER SCOTT GREEN ATC/L
5068 COUNTY ROAD 9220
WEST PLAINS, MO 65775-5662
Phone number: 417-255-1981
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