LUKE ALLEN TRAIL

COLUMBIA, MO
NPI1881153492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  A142148001)
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
LUKE ALLEN TRAIL AT
198 E STADIUM BLVD,
COLUMBIA, MO 65203-6520
Phone number: 314-809-5853
Mailing Address
LUKE ALLEN TRAIL AT
111 E STEWART RD
COLUMBIA, MO 65203-4203
Phone number: 314-809-5853
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