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Individual

MS. KRISTEN HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
530 BRANSON LANDING BLVD., BRANSON, MO 65616-4281
(417) 334-4282
Mailing address
3526 E EASTWOOD BLVD, SPRINGFIELD, MO 65809-2119
(417) 840-9346

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006022369
MO

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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