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1689665226
JUSTIN LEE EBERT
SPRINGFIELD, MO
NPI
1689665226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 119560)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN LEE EBERT ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-7990
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Mailing Address
Mr. JUSTIN LEE EBERT ATC
4352 W 2ND ST
BATTLEFIELD, MO 65619-9794
Phone number: 417-886-0488
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