AMANDA BLAIZE COOPER

SPRINGFIELD, MO
NPI1790034502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2012017269)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
-- AMANDA BLAIZE COOPER ATC
2135 S FREEMONT AVE
SPRINGFIELD, MO 65804
Phone number: 417-820-2000
Mailing Address
-- AMANDA BLAIZE COOPER ATC
2135 S FREEMONT AVE
SPRINGFIELD, MO 65804
Phone number: 417-820-2000
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