Individual
MR. ALONZO EDWARD RANGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA,ATS
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(800) 752-7043
Mailing address
518 OAK ST, JUNCTION CITY, KS 66441-3843
(785) 209-8636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KS
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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