NICHOLAS JOHN LEGRAND

SPRINGFIELD, MO
NPI1922581867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2018026636)
Enumeration Date2018-09-06
Last Update Date2018-09-06
Business Address
NICHOLAS JOHN LEGRAND ATC, LAT
1111 N GLENSTONE AVE
SPRINGFIELD, MO 65802-2125
Phone number: 573-579-8968
Mailing Address
NICHOLAS JOHN LEGRAND ATC, LAT
4355 S NATIONAL AVE APT 712
SPRINGFIELD, MO 65810-2653
Phone number: 573-579-8968
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