Individual
CARRIE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 949-4302
Mailing address
54 BEAR CLAW CT, WENTZVILLE, MO 63385-3532
(314) 283-5011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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