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1609811934
COSTAS ACHILLES PAPANICOLAOU
POPLAR BLUFF, MO
NPI
1609811934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 112211)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
Mr. COSTAS ACHILLES PAPANICOLAOU
3720 PRAIRIE ROSE RD
POPLAR BLUFF, MO 63901-9303
Phone number: 573-785-5087
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Mailing Address
Mr. COSTAS ACHILLES PAPANICOLAOU
3720 PRAIRIE ROSE LANE
POPLAR BLUFF, MO 63901-9303
Phone number: 573-686-5982
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