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1942746284
JACOB KINTZ
SPRINGFIELD, MO
NPI
1942746284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2016028027)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- JACOB KINTZ ATC, LAT
623 E MONTCLAIR ST APT 3B
SPRINGFIELD, MO 65807-8932
Phone number: 417-865-2815
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Mailing Address
-- JACOB KINTZ ATC, LAT
623 E MONTCLAIR ST APT 3B
SPRINGFIELD, MO 65807-8932
Phone number:
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