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1811958986
NICOLE SUMMERS
KIRKSVILLE, MO
NPI
1811958986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2003016375)
Enumeration Date
2006-03-29
Last Update Date
2016-12-29
Business Address
-- NICOLE SUMMERS ATC
800 W JEFFERSON NORTHEAST REGIONAL MEDICAL CENTER
KIRKSVILLE, MO 63501
Phone number: 660-785-1834
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Mailing Address
-- NICOLE SUMMERS ATC
39 GRIM PL
KIRKSVILLE, MO 63501-4438
Phone number: 660-341-6056
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