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Individual

MR. LLOYD A KNUDSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4325
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013041773
MO

Other

Enumeration date
08/22/2017
Last updated
08/22/2017
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