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1710070511
GREGG D CRAIN
SAINT LOUIS, MO
NPI
1710070511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 109857)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mr. GREGG D CRAIN A.T.C.
5228 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109-2923
Phone number: 636-343-3355
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Mailing Address
Mr. GREGG D CRAIN A.T.C.
5228 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109-2923
Phone number:
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