JONATHAN BURCH

SAINT LOUIS, MO
NPI1952711046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2007025048)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
Mr. JONATHAN BURCH ATC
3330 LACLEDE AVENUE SAINT LOUIS UNIVERSITY - CHAIFETZ ARENA
SAINT LOUIS, MO 63103
Phone number: 314-977-3295
Mailing Address
Mr. JONATHAN BURCH ATC
3330 LACLEDE AVENUE CHAIFETZ ARENA
SAINT LOUIS, MO 63103
Phone number: 314-977-3295
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