BENJMIN MICHAEL FOX

CAPE GIRARDEAU, MO
NPI1730360678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2011040138)
Enumeration Date2007-11-20
Last Update Date2017-02-13
Business Address
Mr. BENJMIN MICHAEL FOX ATC
1 UNIVERSITY PLZ # MS 7000
CAPE GIRARDEAU, MO 63701-4710
Phone number: 573-999-6217
Mailing Address
Mr. BENJMIN MICHAEL FOX ATC
1966 DELWIN ST APT 4
CAPE GIRARDEAU, MO 63701-2470
Phone number: 573-999-6217
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