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Individual

THOMAS HAROLD MCGOWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, ATC, LAT

Contact information

Practice address
13001 N OUTER 40 RD STE 2A, TOWN AND COUNTRY, MO 63017-5941
(314) 324-0367
Mailing address
8637 BROOKSHIRE LN APT C, SAINT LOUIS, MO 63132-4711
(314) 437-6433

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013003673
MO

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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