IVAN EUGENE MILTON

SPRINGFIELD, MO
NPI1841291747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  00011)
Enumeration Date2005-08-02
Last Update Date2007-07-08
Business Address
-- IVAN EUGENE MILTON AT
901 S NATIONAL AVE
SPRINGFIELD, MO 65804-0027
Phone number: 417-836-5461
Mailing Address
-- IVAN EUGENE MILTON AT
1250 E STONEBROOK RD
OZARK, MO 65721-6275
Phone number: 417-581-8379
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