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1619938594
ADAM LANCE CLINE
KIRKSVILLE, MO
NPI
1619938594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2004019676)
Enumeration Date
2006-03-30
Last Update Date
2007-07-08
Business Address
Mr. ADAM LANCE CLINE ATC
100 E NORMAL ST
KIRKSVILLE, MO 63501-4200
Phone number: 660-785-6055
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Mailing Address
Mr. ADAM LANCE CLINE ATC
100 E NORMAL ST
KIRKSVILLE, MO 63501-4200
Phone number: 660-785-6055
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