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1992063697
JEREMY RAY TJARKS
SPRINGFIELD, MO
NPI
1992063697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: MO 2009024749)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
Mr. JEREMY RAY TJARKS MS, LAT, ATC
2135 S FREMONT AVE
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-7990
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Mailing Address
Mr. JEREMY RAY TJARKS MS, LAT, ATC
2349 W NOTTINGHAM ST
SPRINGFIELD, MO 65810-2298
Phone number: 417-761-3210
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