Individual
MRS. JESSICA BURGASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
24173 STATE HIGHWAY F, KIRKSVILLE, MO 63501-8009
(563) 506-4246
Mailing address
24173 STATE HIGHWAY F, KIRKSVILLE, MO 63501-8009
(563) 506-4246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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