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1962055996
MICHAEL CHASTAIN
KIRKSVILLE, MO
NPI
1962055996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2018028111)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MICHAEL CHASTAIN ATC
100 E NORMAL AVE
KIRKSVILLE, MO 63501-4221
Phone number: 660-785-7521
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Mailing Address
MICHAEL CHASTAIN ATC
508 W LAHARPE ST
KIRKSVILLE, MO 63501-1856
Phone number: 816-682-4995
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