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Individual

EGBERT BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
5633 S PAULA AVE, SPRINGFIELD, MO 65810-2103
(417) 368-2969
Mailing address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-7990

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006023674
MO

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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