CASEY ALLEN HAIRSTON

COLUMBIA, MO
NPI1689949166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2007002739)
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
-- CASEY ALLEN HAIRSTON ATC
1 CHAMPIONS DR MIZZOU SPORTS MEDICINE
COLUMBIA, MO 65211-0001
Phone number: 573-882-2375
Mailing Address
-- CASEY ALLEN HAIRSTON ATC
100 MATC
COLUMBIA, MO 65211
Phone number: 573-882-2375
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