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1689026718
JESSICA PARKER
BELLEVILLE, IL
NPI
1689026718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003988)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- JESSICA PARKER
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6000
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Mailing Address
-- JESSICA PARKER
1040 AUTUMN OAKS DR
IMPERIAL, MO 63052-3452
Phone number: 314-435-8565
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