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1669175097
JEFFERY ALLEN BRIDGES
LEAVENWORTH, KS
NPI
1669175097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
JEFFERY ALLEN BRIDGES
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-271-7109
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Mailing Address
JEFFERY ALLEN BRIDGES
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-271-7109
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