JUSTIN LEE EBERT

SPRINGFIELD, MO
NPI1689665226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  119560)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
Mr. JUSTIN LEE EBERT ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-7990
Mailing Address
Mr. JUSTIN LEE EBERT ATC
4352 W 2ND ST
BATTLEFIELD, MO 65619-9794
Phone number: 417-886-0488
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