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Individual

MR. JEFFREY JOHN EDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COF, ATC, CSCS

Contact information

Practice address
12984 MAURER INDUSTRIAL DR, SAINT LOUIS, MO 63127-1564
(314) 842-6750
(314) 842-6761
Mailing address
936 LANDS END CIR, SAINT CHARLES, MO 63304-5018
(636) 236-2457

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00194
MO

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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