COLLIN GILMORE

SPRINGFIELD, MO
NPI1740727544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2016032097)
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
-- COLLIN GILMORE ATC, LAT
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
Mailing Address
-- COLLIN GILMORE ATC, LAT
925 SOUTH AVE APT 202F
SPRINGFIELD, MO 65806-3236
Phone number: 573-289-2704
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