Individual
CAMILLE ELISE BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
100 MIZZOU ATHLETICS TRAINING COMPLEX, COLUMBIA, MO 65211-0001
(573) 356-0919
Mailing address
100 MIZZOU ATHLETICS TRAINING COMPLEX, COLUMBIA, MO 65211-0001
(573) 356-0919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012019168
MO
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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