JOHNNIE DENSMORE

SPRINGFIELD, MO
NPI1790135440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2015026800)
Enumeration Date2016-06-14
Last Update Date2016-06-14
Business Address
-- JOHNNIE DENSMORE
4331 S FREMONT AVE
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
Mailing Address
-- JOHNNIE DENSMORE
401 RACE RD
WILLARD, MO 65781-8334
Phone number: 205-566-8005
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