JOHN LUCAS RUNDE

SAINT LOUIS, MO
NPI1780180497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2015036002)
Enumeration Date2018-04-02
Last Update Date2018-04-02
Business Address
JOHN LUCAS RUNDE
5201 MID AMERICA PLZ
SAINT LOUIS, MO 63129-0002
Phone number: 217-663-4090
Mailing Address
JOHN LUCAS RUNDE
8861 GILMORE LAKE RD
COLUMBIA, IL 62236-3525
Phone number: 217-663-4090
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