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1659520013
NATHAN CHARLES KESEL
SPRINGFIELD, MO
NPI
1659520013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2008026071)
Enumeration Date
2008-09-10
Last Update Date
2008-09-10
Business Address
NATHAN CHARLES KESEL LAT
FORSYTHE ATHLETICS CTR 901 SOUTH NATIONAL STREET
SPRINGFIELD, MO 65897-0001
Phone number: 417-836-4715
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Mailing Address
NATHAN CHARLES KESEL LAT
4725 S GLENN AVE
SPRINGFIELD, MO 65810-1242
Phone number: 417-848-3274
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