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1740727544
COLLIN GILMORE
SPRINGFIELD, MO
NPI
1740727544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2016032097)
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- COLLIN GILMORE ATC, LAT
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
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Mailing Address
-- COLLIN GILMORE ATC, LAT
925 SOUTH AVE APT 202F
SPRINGFIELD, MO 65806-3236
Phone number: 573-289-2704
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