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1679095459
MELISSA NICOLE MIKESCH
SAINT CHARLES, MO
NPI
1679095459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2017012621)
Enumeration Date
2017-07-12
Last Update Date
2022-07-21
Business Address
Miss MELISSA NICOLE MIKESCH ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 314-971-5355
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Mailing Address
Miss MELISSA NICOLE MIKESCH ATC
137 HARVEST GRV
IMPERIAL, MO 63052-3843
Phone number: 314-971-5355
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