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1982169512
COLE TIMOTHY BASSETT
SPRINGFIELD, MO
NPI
1982169512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
Mr. COLE TIMOTHY BASSETT
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897-0001
Phone number: 417-836-8553
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Mailing Address
Mr. COLE TIMOTHY BASSETT
203 N BLUEBIRD LN
NIXA, MO 65714-8461
Phone number: 417-522-6361
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