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1639711187
IAN ANTHONY WALKER
SAINT CHARLES, MO
NPI
1639711187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2019032064)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
MR. IAN ANTHONY WALKER ATC, LAT
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4346
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Mailing Address
MR. IAN ANTHONY WALKER ATC, LAT
4004 SUN LAKE DR
SAINT CHARLES, MO 63301-3059
Phone number: 703-209-3967
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