MIKAH J BANGE

EOLIA, MO
NPI1902557796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-01-12
Last Update Date2022-01-12
Business Address
MIKAH J BANGE
30342 PIKE 221
EOLIA, MO 63344-4605
Phone number: 573-560-0567
Mailing Address
MIKAH J BANGE
30342 PIKE 221
EOLIA, MO 63344-4605
Phone number: 573-560-0567