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1982138038
EDWARD R WILKERSON
COLUMBIA, MO
NPI
1982138038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2005038358)
Enumeration Date
2017-04-15
Last Update Date
2017-04-15
Business Address
-- EDWARD R WILKERSON LAT, ATC
1200 E BROADWAY
COLUMBIA, MO 65215-1000
Phone number: 573-441-5175
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Mailing Address
-- EDWARD R WILKERSON LAT, ATC
1200 E BROADWAY
COLUMBIA, MO 65215-1000
Phone number: 573-441-5175
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