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Individual

MISS SARAH ELISABETH WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOL, ATC

Contact information

Practice address
1111 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5494
Mailing address
1111 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5494

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009024753
MO

Other

Enumeration date
02/23/2011
Last updated
06/14/2011
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