Individual
DYLAN TROY CLAMORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 949-4819
Mailing address
903 JACK RABBIT CT, SAINT PETERS, MO 63376-5921
(636) 352-8421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028786
MO
Other
Enumeration date
07/02/2017
Last updated
07/02/2017
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