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1992170104
AEDRYAN COX
SAINT CHARLES, MO
NPI
1992170104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2012017270)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
-- AEDRYAN COX
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4799
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Mailing Address
-- AEDRYAN COX
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4799
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