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1760912638
LAUREN ANN HAVERMALE
SAINT CHARLES, MO
NPI
1760912638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2017018651)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
MRS. LAUREN ANN HAVERMALE ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4344
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Mailing Address
MRS. LAUREN ANN HAVERMALE ATC
2406 LODGEWOOD LN
SAINT PETERS, MO 63376-4350
Phone number:
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