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Individual

MISS ERIN LEE BOYDSTUN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-7990
(417) 820-8734
Mailing address
1925 E WALNUT ST, SPRINGFIELD, MO 65802-2942
(417) 830-2403
(417) 820-8734

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004018735
MO

Other

Enumeration date
11/02/2005
Last updated
07/08/2007
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